Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,584.89 / $14,454.40	Facility		$724.44	$1,584.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $14,125.38	Facility		$5,011.87	$8,128.31	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $8,912.51	Facility		$851.14	$4,677.35	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,691.53 / $7,943.28	Facility		$851.14	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $3,311.31	Professional		$1,000.00	$1,949.84	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $14,454.40 / $14,454.40	Facility		$1,995.26	$14,454.40	$14,454.40
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