Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $6,628.30 / $14,482.00	Facility		$1,894.00	$6,628.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $2,575.50 / $3,472.38	Professional		$196.70	$2,575.50	$3,472.38
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 $2,257.00 / $2,951.70 / $4,793.00	Facility		$2,257.00	$2,951.70	$4,793.00
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 Facility Modifier Low / Median / High Price $2,302.53 / $2,302.53 / $2,302.53	Facility		$2,302.53	$2,302.53	$2,302.53
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
Security Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $520.00	Professional		$520.00	$520.00	$520.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00