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 / $5,888.44 / $9,332.54	Facility		$5,011.87	$5,888.44	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $10,000.00	Facility		$1,905.46	$3,801.89	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $7,585.78	Facility		$1,905.46	$3,019.95	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,897.79 / $7,413.10	Professional		$3,235.94	$4,897.79	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $26,302.68 / $26,302.68	Facility		$5,011.87	$26,302.68	$26,302.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $2,630.27	Facility	AS	$501.19	$501.19	$2,630.27
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