Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,818.38 / $14,454.40	Facility		$1,230.27	$2,818.38	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,488.17 / $26,302.68	Facility		$11,748.98	$15,488.17	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $10,000.00	Facility		$1,288.25	$2,691.53	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,818.38 / $15,135.61	Facility		$1,288.25	$2,818.38	$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 $3,548.13 / $14,791.08 / $14,791.08	Facility		$3,548.13	$14,791.08	$14,791.08
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