Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $14,454.40	Facility		$912.01	$1,548.82	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,918.31 / $13,489.63	Facility		$851.14	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,691.53 / $7,943.28	Facility		$851.14	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $2,951.21	Professional		$1,000.00	$1,949.84	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $14,125.38 / $14,125.38	Facility		$1,949.84	$14,125.38	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45