Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $14,454.40	Facility		$316.23	$588.84	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $18,197.01	Facility		$4,677.35	$10,232.93	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $1,380.38	Facility		$741.31	$851.14	$1,380.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	52	$389.05	$389.05	$389.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $3,548.13	Facility		$281.84	$371.54	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $5,248.07	Facility		$281.84	$398.11	$5,248.07
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility	52	$18,197.01	$18,197.01	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $912.01	Professional		$331.13	$588.84	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $23,988.33	Facility		$16,218.10	$16,218.10	$23,988.33
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $12,882.50 / $12,882.50 / $19,054.61	Facility	52	$12,882.50	$12,882.50	$19,054.61
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