Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $14,454.40	Facility		$776.25	$1,621.81	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,890.45	Facility		$2,089.30	$2,398.83	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $5,495.41	Facility		$794.33	$1,548.82	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,041.74	Facility		$794.33	$1,202.26	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,754.23	Professional		$1,174.90	$1,778.28	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $5,011.87	Facility		$1,737.80	$3,235.94	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76