Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,348.96 / $14,454.40	Facility		$724.44	$1,348.96	$14,454.40
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 $1,698.24 / $1,995.26 / $3,162.28	Facility		$1,698.24	$1,995.26	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $4,365.16	Facility		$616.60	$831.76	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $7,244.36	Facility		$616.60	$891.25	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $2,344.23	Professional		$831.76	$1,513.56	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11