Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $14,454.40	Facility		$724.44	$1,513.56	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,801.89	Facility		$1,905.46	$2,238.72	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $6,456.54	Facility		$741.31	$1,479.11	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $11,481.54	Facility		$741.31	$1,513.56	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,511.89	Professional		$1,096.48	$1,659.59	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $32,359.37 / $47,863.01	Facility		$17,378.01	$32,359.37	$47,863.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40