Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,659.59 / $14,454.40	Facility		$758.58	$1,659.59	$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 $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,918.31 / $13,489.63	Facility		$812.83	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,691.53 / $7,943.28	Facility		$812.83	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,467.37	Professional		$1,047.13	$2,041.74	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $12,589.25 / $12,589.25	Facility		$2,089.30	$12,589.25	$12,589.25
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