Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $14,454.40	Facility		$602.56	$1,258.93	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,235.94	Facility		$1,621.81	$1,905.46	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $5,495.41	Facility		$616.60	$1,174.90	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,258.93 / $5,754.40	Facility		$616.60	$1,258.93	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,187.76	Professional		$954.99	$1,445.44	$2,187.76
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 $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93