Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $14,454.40	Facility		$912.01	$1,445.44	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,244.36 / $13,489.63	Facility		$912.01	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $9,772.37 / $16,595.87	Facility		$812.83	$9,772.37	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,019.95	Professional		$1,230.27	$1,737.80	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01