Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $14,454.40	Facility		$1,122.02	$2,089.30	$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 $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $8,128.31	Facility		$1,000.00	$1,380.38	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $5,888.44	Facility		$1,023.29	$1,445.44	$5,888.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,715.35	Professional		$1,318.26	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $9,772.37 / $9,772.37	Facility		$2,630.27	$9,772.37	$9,772.37
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