Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.00 / $2,166.00 / $2,245.00	Facility		$1,337.00	$2,166.00	$2,245.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,768.00 / $2,368.00	Facility		$1,170.00	$1,768.00	$2,368.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $1,819.00 / $1,947.00	Facility		$1,077.00	$1,819.00	$1,947.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $491.87 / $904.50 / $1,885.00	Facility		$491.87	$904.50	$1,885.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,883.00 / $13,731.60	Facility		$575.00	$1,883.00	$13,731.60
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $1,750.00 / $1,750.00	Facility		$1,750.00	$1,750.00	$1,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $770.00 / $1,885.00	Facility		$478.00	$770.00	$1,885.00