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 $1,944.00 / $2,951.70 / $4,793.00	Facility		$1,944.00	$2,951.70	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,709.52 / $5,709.52 / $5,709.52	Professional		$5,709.52	$5,709.52	$5,709.52
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 $2,239.00 / $2,239.00 / $2,239.00	Facility		$2,239.00	$2,239.00	$2,239.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,709.52 / $5,709.52 / $5,709.52	Professional		$5,709.52	$5,709.52	$5,709.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $2,910.00 / $4,391.00	Facility		$1,957.00	$2,910.00	$4,391.00