Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $14,454.40	Facility		$691.83	$1,412.54	$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 $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $5,495.41	Facility		$691.83	$1,348.96	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $5,754.40	Facility		$691.83	$1,412.54	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
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