Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $14,454.40	Facility		$977.24	$1,659.59	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,677.35 / $8,912.51	Facility		$933.25	$4,677.35	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,495.41 / $8,709.64	Facility		$891.25	$5,495.41	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,951.21	Professional		$933.25	$1,819.70	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11