Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $14,454.40	Facility		$870.96	$1,778.28	$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 $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,737.80 / $5,754.40	Facility		$812.83	$1,737.80	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,778.28 / $15,135.61	Facility		$812.83	$1,778.28	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,019.95	Professional		$1,318.26	$1,995.26	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,079.46 / $7,079.46	Facility		$2,238.72	$7,079.46	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,489.63 / $17,378.01	Facility		$8,709.64	$13,489.63	$17,378.01