Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $14,454.40	Facility		$524.81	$1,288.25	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,762.47 / $12,589.25	Facility		$3,162.28	$7,762.47	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,819.70 / $5,754.40	Facility		$562.34	$1,819.70	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $6,309.57	Facility		$616.60	$1,862.09	$6,309.57
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 $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93