Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,638.00	Facility		$1,314.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $386.38 / $12,978.79	Professional		$70.09	$386.38	$12,978.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $2,604.75 / $4,688.55	Facility		$80.95	$2,604.75	$4,688.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $2,472.76 / $6,251.40	Facility		$75.84	$2,472.76	$6,251.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $127.08 / $32,026.29	Professional		$76.39	$127.08	$32,026.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $2,604.75 / $4,403.04	Facility		$80.95	$2,604.75	$4,403.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $169.69 / $242.00	Professional		$111.54	$169.69	$242.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $152.41 / $12,103.56	Facility		$96.47	$152.41	$12,103.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,821.68 / $32,026.29 / $32,026.29	Professional		$11,821.68	$32,026.29	$32,026.29
United Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $122.56 / $254.20	Professional		$76.39	$122.56	$254.20