Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $630.96 / $1,905.46	Facility		$208.93	$630.96	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,511.89	Facility		$1,348.96	$1,584.89	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,023.29 / $3,801.89	Facility		$208.93	$1,023.29	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $5,754.40	Facility		$208.93	$2,754.23	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $645.65 / $1,698.24	Professional		$295.12	$645.65	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,495.41	Facility		$3,801.89	$3,801.89	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $6,456.54	Facility		$2,884.03	$3,715.35	$6,456.54