Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Facility		$3,200.00	$3,200.00	$3,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $1,425.00 / $1,940.00	Facility		$1,425.00	$1,425.00	$1,940.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $491.87 / $888.40 / $1,668.00	Facility		$491.87	$888.40	$1,668.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,731.60 / $13,731.60 / $13,731.60	Facility		$13,731.60	$13,731.60	$13,731.60
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $1,750.00 / $1,750.00	Facility		$1,750.00	$1,750.00	$1,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $764.00 / $1,666.00	Facility		$478.00	$764.00	$1,666.00