Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $14,454.40	Facility		$645.65	$1,318.26	$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 $1,737.80 / $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 $588.84 / $1,148.15 / $3,548.13	Facility		$588.84	$1,148.15	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $5,754.40	Facility		$630.96	$1,318.26	$5,754.40
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 / $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