Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $13,096.28 / $17,823.00	Facility		$1,894.00	$13,096.28	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.60 / $971.33 / $1,274.64	Professional		$333.60	$971.33	$1,274.64
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 $916.00 / $1,449.00 / $2,090.40	Facility		$916.00	$1,449.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
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 $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90