Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $1,905.46	Facility		$245.47	$524.81	$1,905.46
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 $1,174.90 / $1,380.38 / $2,290.87	Facility		$1,174.90	$1,380.38	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $512.86 / $3,162.28	Facility		$251.19	$512.86	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $524.81 / $7,244.36	Facility		$257.04	$524.81	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,548.82	Professional		$478.63	$851.14	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,760.83	Facility		$2,454.71	$4,570.88	$6,760.83
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