Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,482.00 / $14,482.00 / $17,823.00	Facility		$14,482.00	$14,482.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,015.00 / $10,015.00 / $10,015.00	Professional		$10,015.00	$10,015.00	$10,015.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $13,919.00 / $24,485.00	Facility		$1,183.00	$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 $1,854.20 / $1,854.20 / $1,854.20	Professional		$1,854.20	$1,854.20	$1,854.20
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 $1,854.20 / $1,854.20 / $1,854.20	Professional		$1,854.20	$1,854.20	$1,854.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90