Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $14,454.40	Facility		$416.87	$676.08	$14,454.40
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 $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,570.40 / $4,786.30	Facility		$416.87	$2,570.40	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,548.13 / $6,309.57	Facility		$389.05	$3,548.13	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,412.54	Professional		$562.34	$794.33	$1,412.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $5,623.41	Facility		$3,801.89	$5,623.41	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93