Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,925.00 / $25,110.00	Facility		$13,123.00	$17,925.00	$25,110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.76 / $773.27 / $2,100.88	Professional		$311.76	$773.27	$2,100.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $262.95 / $393.96	Facility		$173.58	$262.95	$393.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.95 / $16,498.09 / $28,824.00	Facility		$262.95	$16,498.09	$28,824.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.59 / $953.87 / $1,769.94	Professional		$346.59	$953.87	$1,769.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $262.95 / $393.96	Facility		$173.58	$262.95	$393.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $654.38 / $783.56	Professional		$296.56	$654.38	$783.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $150,403.79 / $150,403.79 / $150,403.79	Facility		$150,403.79	$150,403.79	$150,403.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,106.78 / $2,105.28 / $2,105.28	Professional		$1,106.78	$2,105.28	$2,105.28
United Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $1,032.39 / $1,545.53	Professional		$315.48	$1,032.39	$1,545.53