Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,801.89 / $9,332.54	Facility		$213.80	$3,801.89	$9,332.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $501.19	Facility		$269.15	$316.23	$501.19
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	52	$144.54	$144.54	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $3,162.28	Facility		$95.50	$134.90	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $5,248.07	Facility		$100.00	$144.54	$5,248.07
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	52	$6,025.60	$6,025.60	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $363.08	Professional		$128.82	$234.42	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,943.28	Facility		$5,370.32	$5,370.32	$7,943.28
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $4,265.80 / $4,265.80 / $6,309.57	Facility	52	$4,265.80	$4,265.80	$6,309.57
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