Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $14,454.40	Facility		$645.65	$1,348.96	$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 $1,737.80 / $2,041.74 / $3,235.94	Facility		$1,737.80	$2,041.74	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,258.93 / $5,495.41	Facility		$645.65	$1,258.93	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $5,248.07	Facility		$645.65	$1,348.96	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,344.23	Professional		$1,023.29	$1,548.82	$2,344.23
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