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 $1,451.00 / $1,451.00 / $1,451.00	Professional		$1,451.00	$1,451.00	$1,451.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $12,654.00 / $24,019.00	Facility		$1,183.00	$12,654.00	$24,019.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,513.00 / $3,576.00	Facility		$916.00	$1,513.00	$3,576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $1,644.00 / $1,644.00	Professional		$1,644.00	$1,644.00	$1,644.00
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 Facility Modifier Low / Median / High Price $1,718.00 / $1,718.00 / $1,718.00	Facility		$1,718.00	$1,718.00	$1,718.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $1,644.00 / $1,644.00	Professional		$1,644.00	$1,644.00	$1,644.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90