Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,905.46 / $14,454.40	Facility		$891.25	$1,905.46	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,786.30 / $7,413.10	Facility		$3,019.95	$4,786.30	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $4,168.69	Facility		$933.25	$1,905.46	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,995.26 / $15,135.61	Facility		$933.25	$1,995.26	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,388.44	Professional		$1,445.44	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $6,456.54	Facility		$2,398.83	$2,398.83	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79