Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,995.26 / $14,454.40	Facility		$912.01	$1,995.26	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $5,011.87	Facility		$2,570.40	$2,951.21	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $3,981.07	Facility		$891.25	$1,659.59	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,949.84 / $15,135.61	Facility		$912.01	$1,949.84	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $17,378.01	Facility		$6,309.57	$11,748.98	$17,378.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,737.80	Facility	AS	$1,174.90	$1,174.90	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87