Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $8,570.25 / $17,823.00	Facility		$1,894.00	$8,570.25	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,346.40 / $2,346.40 / $2,346.40	Professional		$2,346.40	$2,346.40	$2,346.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $12,654.00 / $24,019.00	Facility		$1,979.00	$12,654.00	$24,019.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,586.00 / $4,292.39 / $6,312.00	Facility		$2,586.00	$4,292.39	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,453.30 / $6,191.64 / $6,191.64	Professional		$3,453.30	$6,191.64	$6,191.64
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 $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,191.64 / $6,191.64 / $6,191.64	Professional		$6,191.64	$6,191.64	$6,191.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00