Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,819.70 / $6,456.54	Facility		$489.78	$1,819.70	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,570.40	Facility		$1,318.26	$1,513.56	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $5,495.41	Facility		$501.19	$977.24	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,023.29 / $11,220.18	Facility		$501.19	$1,023.29	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $891.25	Facility	AS	$602.56	$602.56	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25