Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,122.02 / $14,454.40	Facility		$457.09	$1,122.02	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $5,754.40	Facility		$2,290.87	$3,090.30	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,630.27	Facility		$1,380.38	$1,621.81	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,621.81 / $4,265.80	Facility		$501.19	$1,621.81	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,621.81 / $7,762.47	Facility		$524.81	$1,621.81	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,737.80	Professional		$870.96	$1,202.26	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,128.61 / $5,128.61	Facility		$1,412.54	$5,128.61	$5,128.61
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