Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $512.86 / $1,949.84	Facility		$0.87	$512.86	$1,949.84
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 $1,412.54 / $1,621.81 / $2,630.27	Facility		$1,412.54	$1,621.81	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $3,548.13	Facility		$478.63	$741.31	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,778.28	Facility		$478.63	$794.33	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,041.74	Professional		$912.01	$1,445.44	$2,041.74
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
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $2,238.72 / $2,238.72 / $3,311.31	Facility	54	$2,238.72	$2,238.72	$3,311.31
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