Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,412.54 / $14,454.40	Facility		$676.08	$1,412.54	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,412.54 / $7,244.36	Facility		$676.08	$1,412.54	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $11,481.54	Facility		$691.83	$1,445.44	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,398.83	Professional		$1,023.29	$1,548.82	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,623.41 / $5,623.41	Facility		$1,778.28	$5,623.41	$5,623.41
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $562.34	Facility	AS	$177.83	$177.83	$562.34
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