Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $14,482.00 / $17,823.00	Facility		$83.80	$14,482.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $4,539.24 / $4,539.24	Professional		$487.50	$4,539.24	$4,539.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $12,656.00 / $24,019.00	Facility		$5,975.00	$12,656.00	$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 $6,783.00 / $6,783.00 / $6,783.00	Professional		$6,783.00	$6,783.00	$6,783.00
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 $2,112.00 / $2,112.00 / $2,112.00	Facility		$2,112.00	$2,112.00	$2,112.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,783.00 / $6,783.00 / $6,783.00	Professional		$6,783.00	$6,783.00	$6,783.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,298.96 / $2,298.96 / $2,298.96	Professional		$2,298.96	$2,298.96	$2,298.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00