Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.47 / $1,894.00 / $17,823.00	Facility		$333.47	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $1,040.00 / $1,734.30	Professional		$358.00	$1,040.00	$1,734.30
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 $8,049.13 / $8,049.13 / $8,049.13	Professional		$8,049.13	$8,049.13	$8,049.13
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 $8,049.13 / $8,049.13 / $8,049.13	Professional		$8,049.13	$8,049.13	$8,049.13
United Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,275.00 / $2,202.90	Facility		$618.00	$1,275.00	$2,202.90