Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,754.23 / $6,456.54	Facility		$724.44	$2,754.23	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,801.89	Facility		$1,949.84	$2,290.87	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,548.82 / $5,495.41	Facility		$741.31	$1,548.82	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $15,135.61	Facility		$758.58	$1,584.89	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,570.40	Professional		$1,122.02	$1,698.24	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87