Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $14,454.40	Facility		$467.74	$870.96	$14,454.40
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 $1,096.48 / $1,288.25 / $2,041.74	Facility		$1,096.48	$1,288.25	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $2,818.38	Facility		$363.08	$512.86	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $4,365.16	Facility		$363.08	$549.54	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $1,513.56	Professional		$537.03	$977.24	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
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