Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $14,454.40	Facility		$630.96	$1,380.38	$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 $1,698.24 / $1,995.26 / $3,235.94	Facility		$1,698.24	$1,995.26	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $8,709.64	Facility		$645.65	$1,380.38	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,513.56 / $11,481.54	Facility		$645.65	$1,513.56	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,290.87	Professional		$1,000.00	$1,513.56	$2,290.87
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