Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,230.27 / $14,454.40	Facility		$602.56	$1,230.27	$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 $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $5,495.41	Facility		$602.56	$1,148.15	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,230.27 / $5,248.07	Facility		$602.56	$1,230.27	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,187.76	Professional		$954.99	$1,412.54	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$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