Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $14,454.40	Facility		$1,318.26	$2,951.21	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $6,918.31	Facility		$3,715.35	$4,365.16	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $6,918.31	Facility		$1,380.38	$2,884.03	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $15,135.61	Facility		$1,412.54	$3,162.28	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,467.37 / $5,370.32	Professional		$2,290.87	$3,467.37	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $23,988.33 / $23,988.33	Facility		$11,220.18	$23,988.33	$23,988.33
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $2,398.83	Facility	AS	$1,122.02	$1,122.02	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79