Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $14,454.40	Facility		$1,698.24	$3,801.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $8,912.51	Facility		$4,786.30	$5,623.41	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $10,000.00	Facility		$1,819.70	$3,630.78	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $17,782.79	Facility		$1,905.46	$3,801.89	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $7,079.46	Professional		$3,090.30	$4,570.88	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,952.62 / $19,952.62	Facility		$4,786.30	$19,952.62	$19,952.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $478.63 / $478.63 / $1,995.26	Facility	AS	$478.63	$478.63	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $16,218.10 / $21,379.62	Facility		$8,128.31	$16,218.10	$21,379.62