Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $512.86 / $14,454.40	Facility		$251.19	$512.86	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,630.27 / $5,128.61	Facility		$251.19	$2,630.27	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $7,244.36 / $12,302.69	Facility		$251.19	$7,244.36	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $776.25	Professional		$288.40	$537.03	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $9,332.54	Facility		$6,309.57	$6,309.57	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25