Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $14,454.40	Facility		$977.24	$2,187.76	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $10,000.00	Facility		$1,047.13	$2,137.96	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $7,585.78	Facility		$1,047.13	$2,187.76	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,981.07	Professional		$1,698.24	$2,570.40	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $11,481.54 / $11,481.54	Facility		$2,754.23	$11,481.54	$11,481.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $1,148.15	Facility	AS	$275.42	$275.42	$1,148.15
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