Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $14,454.40	Facility		$1,174.90	$2,454.71	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $4,168.69	Facility		$1,174.90	$2,454.71	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $13,489.63	Facility		$1,202.26	$2,570.40	$13,489.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,890.45	Professional		$1,659.59	$2,570.40	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $10,964.78 / $10,964.78	Facility		$3,090.30	$10,964.78	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10