Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $3,090.30	Facility		$645.65	$1,348.96	$3,090.30
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 $2,290.87 / $2,691.53 / $4,466.84	Facility		$2,290.87	$2,691.53	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $3,548.13	Facility		$645.65	$1,047.13	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $14,125.38	Facility		$660.69	$1,174.90	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $2,951.21	Professional		$1,174.90	$1,995.26	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $19,498.45 / $28,840.32	Facility		$10,232.93	$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