Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $14,454.40	Facility		$1,479.11	$3,311.31	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,762.47	Facility		$4,168.69	$4,897.79	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $10,000.00	Facility		$1,584.89	$3,162.28	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $15,135.61	Facility		$1,621.81	$3,311.31	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $6,025.60	Professional		$2,630.27	$3,981.07	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $21,379.62 / $21,379.62	Facility		$4,168.69	$21,379.62	$21,379.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $416.87 / $416.87 / $2,137.96	Facility	AS	$416.87	$416.87	$2,137.96
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