Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $14,454.40	Facility		$1,778.28	$3,981.07	$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 $5,011.87 / $5,754.40 / $9,332.54	Facility		$5,011.87	$5,754.40	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $10,000.00	Facility		$1,905.46	$3,630.78	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $7,585.78	Facility		$1,905.46	$2,884.03	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Professional		$3,162.28	$4,786.30	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $25,703.96 / $25,703.96	Facility		$5,011.87	$25,703.96	$25,703.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $2,570.40	Facility	AS	$501.19	$501.19	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45