Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $14,454.40	Facility		$933.25	$1,513.56	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $7,244.36 / $13,489.63	Facility		$812.83	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $7,244.36 / $12,302.69	Facility		$831.76	$7,244.36	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,090.30	Professional		$1,202.26	$1,698.24	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,332.54 / $9,332.54	Facility		$5,248.07	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25