Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $8,709.64	Facility		$977.24	$2,041.74	$8,709.64
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 $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $6,456.54	Facility		$1,000.00	$2,041.74	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $14,125.38	Facility		$1,000.00	$2,089.30	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,128.31 / $8,128.31	Facility		$2,570.40	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79