Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $17,782.79	Facility		$891.25	$891.25	$17,782.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,041.74	Facility		$891.25	$1,023.29	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $15,135.61	Facility		$933.25	$1,949.84	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,235.94	Professional		$1,445.44	$2,187.76	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $6,309.57	Facility		$1,819.70	$1,819.70	$6,309.57
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $630.96	Facility	AS	$181.97	$181.97	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79