Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $977.24 / $1,905.46	Facility		$416.87	$977.24	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,344.23	Facility		$1,258.93	$1,445.44	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $3,162.28	Facility		$416.87	$630.96	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,737.80	Facility		$426.58	$660.69	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,698.24	Professional		$758.58	$1,202.26	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76