Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,630.27 / $10,715.19	Facility		$467.74	$2,630.27	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $22,387.21 / $28,840.32	Facility		$10,964.78	$22,387.21	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,238.72	Facility		$1,202.26	$1,412.54	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $10,471.29	Facility		$478.63	$977.24	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $1,778.28	Facility		$489.78	$977.24	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,584.89	Professional		$691.83	$1,071.52	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $7,943.28	Facility		$1,230.27	$1,230.27	$7,943.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $794.33	Facility	AS	$123.03	$123.03	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84