Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $6,165.95	Facility		$562.34	$3,090.30	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,290.87	Facility		$1,230.27	$1,412.54	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $851.14 / $4,265.80	Facility		$223.87	$851.14	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,862.09 / $11,481.54	Facility		$213.80	$1,862.09	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $1,698.24	Professional		$331.13	$645.65	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $9,120.11	Facility		$6,165.95	$9,120.11	$9,120.11
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $5,011.87 / $5,011.87 / $7,244.36	Facility	52	$5,011.87	$5,011.87	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57