Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $512.86 / $14,454.40	Facility		$239.88	$512.86	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $6,918.31 / $13,489.63	Facility		$275.42	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,818.38 / $7,943.28	Facility		$275.42	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,023.29	Professional		$309.03	$602.56	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,951.21 / $2,951.21	Facility		$645.65	$2,951.21	$2,951.21
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $64.57 / $64.57 / $162.18	Facility	AS	$64.57	$64.57	$162.18
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