Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,445.44 / $14,454.40	Facility		$645.65	$1,445.44	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $4,168.69	Facility		$691.83	$1,412.54	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $16,218.10	Facility		$691.83	$1,479.11	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,818.38	Professional		$1,202.26	$1,819.70	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $17,378.01	Facility		$11,748.98	$11,748.98	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,489.63 / $17,378.01	Facility		$8,912.51	$13,489.63	$17,378.01