Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $14,454.40	Facility		$616.60	$977.24	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $29,512.09	Facility		$12,882.50	$17,378.01	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,290.87	Facility		$1,230.27	$1,445.44	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $7,244.36 / $13,489.63	Facility		$562.34	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $16,982.44 / $28,840.32	Facility		$562.34	$16,982.44	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,041.74	Professional		$794.33	$1,148.15	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $43,651.58 / $43,651.58	Facility		$29,512.09	$43,651.58	$43,651.58
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $5,888.44 / $5,888.44 / $8,709.64	Facility	53	$5,888.44	$5,888.44	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $22,908.68 / $34,673.69	Facility		$10,000.00	$22,908.68	$34,673.69