Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,737.80 / $14,454.40	Facility		$933.25	$1,737.80	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,168.69	Facility		$2,187.76	$2,570.40	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $3,090.30	Facility		$812.83	$1,148.15	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $5,754.40	Facility		$851.14	$1,174.90	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $3,090.30	Professional		$1,096.48	$1,995.26	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,943.28 / $7,943.28	Facility		$2,187.76	$7,943.28	$7,943.28
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