Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $14,454.40	Facility		$758.58	$1,584.89	$14,454.40
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 $2,041.74 / $2,344.23 / $3,801.89	Facility		$2,041.74	$2,344.23	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $5,495.41	Facility		$758.58	$1,479.11	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $11,220.18	Facility		$758.58	$1,584.89	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$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