Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $14,454.40	Facility		$741.31	$1,513.56	$14,454.40
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 $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $6,456.54	Facility		$741.31	$1,348.96	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $11,220.18	Facility		$741.31	$1,513.56	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,630.27	Professional		$1,122.02	$1,737.80	$2,630.27
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