Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $14,454.40	Facility		$489.78	$794.33	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $7,413.10	Facility		$2,630.27	$4,677.35	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,862.09	Facility		$1,000.00	$1,174.90	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $7,762.47 / $14,454.40	Facility		$457.09	$7,762.47	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $9,549.93	Facility		$446.68	$3,388.44	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,318.26	Professional		$602.56	$954.99	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,168.69	Facility		$1,000.00	$1,000.00	$4,168.69
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $416.87	Facility	AS	$100.00	$100.00	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45