Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $14,454.40	Facility		$501.19	$1,071.52	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,511.89	Facility		$1,348.96	$1,584.89	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $3,981.07	Facility		$512.86	$1,000.00	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $5,248.07	Facility		$512.86	$1,071.52	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Professional		$758.58	$1,148.15	$1,737.80
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 $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54