Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,621.81 / $14,454.40	Facility		$891.25	$1,621.81	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $3,548.13	Facility		$741.31	$1,023.29	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $7,943.28	Facility		$758.58	$1,096.48	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,691.53	Professional		$954.99	$1,737.80	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11