Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.90 / $831.76	Facility		$20.89	$38.90	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Facility		$47.86	$56.23	$89.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	52	$26.30	$26.30	$26.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $27.54 / $3,548.13	Facility		$18.62	$27.54	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $4,365.16	Facility		$19.05	$31.62	$4,365.16
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	52	$2,187.76	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $60.26	Professional		$20.89	$38.90	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $2,884.03	Facility		$1,949.84	$2,884.03	$2,884.03
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Facility	52	$1,548.82	$1,548.82	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54