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 $981.37 / $981.37 / $981.37	Professional		$981.37	$981.37	$981.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $13,919.00 / $24,485.00	Facility		$1,183.00	$13,919.00	$24,485.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,036.00 / $4,792.00 / $6,312.00	Facility		$3,036.00	$4,792.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,010.00 / $5,010.00 / $5,010.00	Professional		$5,010.00	$5,010.00	$5,010.00
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 Professional Modifier Low / Median / High Price $5,010.00 / $5,010.00 / $5,010.00	Professional		$5,010.00	$5,010.00	$5,010.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00