Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $309.03	Facility		$169.82	$181.97	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $8,128.31 / $12,589.25	Facility		$309.03	$8,128.31	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $3,019.95	Professional		$630.96	$1,096.48	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $10,964.78	Facility		$7,413.10	$7,413.10	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $3,467.37	Professional		$1,096.48	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,232.93 / $11,220.18	Facility		$9,549.93	$10,232.93	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,096.48 / $2,398.83	Professional		$380.19	$1,096.48	$2,398.83