Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $14,454.40	Facility		$977.24	$1,819.70	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,413.10 / $14,791.08	Facility		$977.24	$7,413.10	$14,791.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $10,232.93 / $17,378.01	Facility		$977.24	$10,232.93	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,090.30	Professional		$1,047.13	$2,041.74	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $27,542.29	Facility		$18,620.87	$18,620.87	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79