Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $354.81 / $14,454.40	Facility		$169.82	$354.81	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $812.83	Facility		$436.52	$512.86	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $416.87 / $3,548.13	Facility		$173.78	$416.87	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $1,778.28	Facility		$186.21	$436.52	$1,778.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	54	$218.78	$218.78	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $630.96	Professional		$275.42	$416.87	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $1,995.26	Facility		$263.03	$501.19	$1,995.26
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $776.25	Facility	54	$346.74	$346.74	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84