Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $14,454.40	Facility		$1,071.52	$1,995.26	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $8,128.31	Facility		$933.25	$1,288.25	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $9,772.37	Facility		$954.99	$1,348.96	$9,772.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,388.44	Professional		$1,230.27	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,120.11 / $9,120.11	Facility		$2,511.89	$9,120.11	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25