Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $14,454.40	Facility		$489.78	$1,023.29	$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 $1,288.25 / $1,513.56 / $2,454.71	Facility		$1,288.25	$1,513.56	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $5,495.41	Facility		$489.78	$977.24	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,023.29 / $5,248.07	Facility		$501.19	$1,023.29	$5,248.07
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 $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