Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,621.81 / $14,454.40	Facility		$724.44	$1,621.81	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $3,981.07	Facility		$724.44	$1,288.25	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $8,128.31	Facility		$758.58	$1,584.89	$8,128.31
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 $1,905.46 / $3,548.13 / $5,495.41	Facility		$1,905.46	$3,548.13	$5,495.41
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $549.54	Facility	AS	$354.81	$354.81	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11