Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $14,454.40	Facility		$758.58	$1,621.81	$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 $2,041.74 / $2,398.83 / $3,981.07	Facility		$2,041.74	$2,398.83	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $5,495.41	Facility		$776.25	$1,621.81	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $15,135.61	Facility		$794.33	$1,621.81	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $19,498.45 / $28,840.32	Facility		$10,471.29	$19,498.45	$28,840.32
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