Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,461.00 / $6,461.00 / $17,823.00	Facility		$6,461.00	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,176.00 / $1,451.00	Professional		$1,176.00	$1,176.00	$1,451.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.64 / $1,573.64 / $1,573.64	Professional		$1,573.64	$1,573.64	$1,573.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $12,855.00 / $15,743.00	Facility		$7,217.00	$12,855.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,806.78 / $1,806.78 / $1,806.78	Professional		$1,806.78	$1,806.78	$1,806.78
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 $3,475.55 / $3,475.55 / $3,475.55	Facility		$3,475.55	$3,475.55	$3,475.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,806.78 / $1,806.78 / $1,806.78	Professional		$1,806.78	$1,806.78	$1,806.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $11,608.00 / $13,980.00	Facility		$4,628.00	$11,608.00	$13,980.00