Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,089.30 / $14,454.40	Facility		$851.14	$2,089.30	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,011.87	Facility		$2,691.53	$3,090.30	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $4,265.80	Facility		$851.14	$2,818.38	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,884.03 / $11,481.54	Facility		$933.25	$2,884.03	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,311.31	Professional		$1,621.81	$2,238.72	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,220.18 / $11,220.18	Facility		$7,585.78	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25