Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $14,454.40	Facility		$1,288.25	$2,884.03	$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 $3,630.78 / $4,265.80 / $7,079.46	Facility		$3,630.78	$4,265.80	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $10,000.00	Facility		$1,380.38	$2,818.38	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $15,135.61	Facility		$1,445.44	$2,884.03	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $5,128.61	Professional		$2,238.72	$3,388.44	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Facility	AS	$1,348.96	$1,348.96	$1,995.26
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