Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,737.80 / $14,454.40	Facility		$831.76	$1,737.80	$14,454.40
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 $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,698.24 / $6,918.31	Facility		$851.14	$1,698.24	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $13,182.57	Facility		$851.14	$1,737.80	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $11,481.54	Facility		$4,073.80	$7,762.47	$11,481.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $776.25 / $776.25 / $1,148.15	Facility	AS	$776.25	$776.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10