Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $3,388.44	Facility		$575.44	$3,090.30	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,818.38	Facility		$1,513.56	$1,778.28	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,174.90 / $3,981.07	Facility		$575.44	$1,174.90	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $5,248.07	Facility		$588.84	$1,202.26	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,041.74	Professional		$891.25	$1,348.96	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $2,570.40 / $2,570.40 / $3,801.89	Facility	52	$2,570.40	$2,570.40	$3,801.89
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $2,238.72 / $2,238.72 / $3,311.31	Facility	54	$2,238.72	$2,238.72	$3,311.31
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