Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.03 / $14,482.00 / $16,827.04	Facility		$2,520.03	$14,482.00	$16,827.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,924.80 / $1,924.80 / $1,924.80	Professional		$1,924.80	$1,924.80	$1,924.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $18,276.00	Facility		$7,084.00	$11,485.00	$18,276.00
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 $2,868.19 / $2,868.19 / $2,868.19	Professional		$2,868.19	$2,868.19	$2,868.19
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 Professional Modifier Low / Median / High Price $2,868.19 / $2,868.19 / $2,868.19	Professional		$2,868.19	$2,868.19	$2,868.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00