Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $1,214.99 / $3,606.26	Professional		$535.16	$1,214.99	$3,606.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $329.06 / $746.51	Facility		$180.30	$329.06	$746.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.81 / $7,600.80 / $12,631.00	Facility		$311.81	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.87 / $1,771.02 / $3,036.04	Professional		$591.87	$1,771.02	$3,036.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $329.06 / $746.51	Facility		$180.30	$329.06	$746.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $878.37 / $1,123.26	Professional		$387.68	$878.37	$1,123.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,028.25 / $11,028.25 / $11,028.25	Facility		$11,028.25	$11,028.25	$11,028.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,864.89 / $3,645.44 / $3,645.44	Professional		$1,864.89	$3,645.44	$3,645.44
United Facility/Professional Professional Modifier Low / Median / High Price $386.74 / $1,847.29 / $2,763.73	Professional		$386.74	$1,847.29	$2,763.73