Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $14,454.40	Facility		$575.44	$1,096.48	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $30,902.95	Facility		$13,803.84	$18,197.01	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,981.07 / $7,413.10	Facility		$588.84	$3,981.07	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $12,022.64 / $21,379.62	Facility		$588.84	$12,022.64	$21,379.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,698.24	Professional		$630.96	$1,230.27	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $72,443.60 / $72,443.60	Facility		$41,686.94	$72,443.60	$72,443.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21