Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $14,454.40	Facility		$912.01	$1,905.46	$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 $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $3,981.07	Facility		$933.25	$1,819.70	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $11,481.54	Facility		$933.25	$1,905.46	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,162.28	Professional		$1,380.38	$2,089.30	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,585.78 / $7,585.78	Facility		$2,398.83	$7,585.78	$7,585.78
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