Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,380.38 / $14,454.40	Facility		$562.34	$1,380.38	$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 $1,698.24 / $1,995.26 / $3,162.28	Facility		$1,698.24	$1,995.26	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,041.74 / $4,265.80	Facility		$602.56	$2,041.74	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,041.74 / $7,762.47	Facility		$660.69	$2,041.74	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,187.76	Professional		$1,071.52	$1,479.11	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $6,309.57	Facility		$1,698.24	$6,309.57	$6,309.57
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