Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $14,454.40	Facility		$933.25	$1,949.84	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Facility		$3,162.28	$4,786.30	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $3,981.07	Facility		$933.25	$1,905.46	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $5,248.07	Facility		$933.25	$1,949.84	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,025.60 / $6,025.60	Facility		$2,454.71	$6,025.60	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54