Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $14,454.40	Facility		$691.83	$1,445.44	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,630.78	Facility		$1,862.09	$2,187.76	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $5,495.41	Facility		$707.95	$1,445.44	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $15,135.61	Facility		$707.95	$1,445.44	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
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