Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,630.27 / $9,332.54	Facility		$707.95	$2,630.27	$9,332.54
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 $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $6,918.31	Facility		$724.44	$1,412.54	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $11,220.18	Facility		$724.44	$1,479.11	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,570.40	Professional		$1,096.48	$1,659.59	$2,570.40
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