Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,623.41 / $12,589.25	Facility		$776.25	$5,623.41	$12,589.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,456.54	Facility		$812.83	$1,584.89	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $11,220.18	Facility		$812.83	$1,659.59	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,754.23	Professional		$1,202.26	$1,819.70	$2,754.23
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
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