Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,513.56 / $14,454.40	Facility		$676.08	$1,513.56	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $16,982.44 / $28,840.32	Facility		$7,585.78	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,715.35	Facility		$1,905.46	$2,238.72	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $4,168.69	Facility		$724.44	$1,479.11	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $16,595.87	Facility		$758.58	$1,584.89	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $43,651.58 / $64,565.42	Facility		$23,442.29	$43,651.58	$64,565.42
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