Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $14,454.40	Facility		$602.56	$1,258.93	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,162.28	Facility		$1,621.81	$1,905.46	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,258.93 / $6,456.54	Facility		$616.60	$1,258.93	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,348.96 / $11,220.18	Facility		$616.60	$1,348.96	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,041.74	Professional		$891.25	$1,348.96	$2,041.74
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 $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25