Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,090.30 / $3,801.89	Facility		$173.78	$3,090.30	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $741.31	Facility		$398.11	$467.74	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $3,311.31	Facility		$154.88	$245.47	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $4,897.79	Facility		$154.88	$257.04	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $645.65	Professional		$177.83	$323.59	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $4,897.79	Facility		$3,311.31	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93