Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,838.62 / $14,482.00	Facility		$1,894.00	$3,838.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,286.50 / $2,286.50 / $2,286.50	Professional		$2,286.50	$2,286.50	$2,286.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $13,919.00 / $24,485.00	Facility		$5,479.00	$13,919.00	$24,485.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,318.00 / $9,791.25	Facility		$4,614.00	$7,318.00	$9,791.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,173.00	Professional		$1,173.00	$1,173.00	$1,173.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,173.00	Professional		$1,173.00	$1,173.00	$1,173.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00