Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $14,454.40	Facility		$660.69	$1,380.38	$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 $1,778.28 / $2,041.74 / $3,311.31	Facility		$1,778.28	$2,041.74	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $3,548.13	Facility		$676.08	$1,318.26	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,778.28	Facility		$676.08	$1,202.26	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,454.71	Professional		$1,071.52	$1,584.89	$2,454.71
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 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 $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76