Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $14,454.40	Facility		$575.44	$933.25	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $30,902.95	Facility		$13,803.84	$18,620.87	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,187.76	Facility		$1,174.90	$1,348.96	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $7,413.10 / $14,454.40	Facility		$524.81	$7,413.10	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $16,595.87 / $28,840.32	Facility		$512.86	$16,595.87	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,479.11	Professional		$660.69	$1,071.52	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52,480.75 / $52,480.75 / $77,624.71	Facility		$52,480.75	$52,480.75	$77,624.71
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $20,892.96 / $27,542.29	Facility		$10,964.78	$20,892.96	$27,542.29