Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $1,905.46	Facility		$239.88	$645.65	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,235.94	Facility		$1,659.59	$1,905.46	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $3,162.28	Facility		$562.34	$870.96	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $5,128.61	Facility		$562.34	$912.01	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,238.72	Professional		$1,000.00	$1,584.89	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93