Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $11,748.98 / $21,877.62	Facility		$1,202.26	$11,748.98	$21,877.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $10,000.00	Facility		$1,288.25	$2,570.40	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,691.53 / $8,317.64	Facility		$1,318.26	$2,691.53	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $4,786.30	Professional		$2,089.30	$3,162.28	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $14,125.38 / $14,125.38	Facility		$3,388.44	$14,125.38	$14,125.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $1,412.54	Facility	AS	$338.84	$338.84	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11