Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,778.28 / $14,454.40	Facility		$707.95	$1,778.28	$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 $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,511.89 / $5,754.40	Facility		$776.25	$2,511.89	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,570.40 / $8,317.64	Facility		$831.76	$2,570.40	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,884.03	Professional		$1,412.54	$1,949.84	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,918.31 / $6,918.31	Facility		$4,570.88	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11