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 / $25,614.00	Facility		$13,123.00	$17,925.00	$25,614.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $76,295.35 / $76,295.35 / $76,295.35	Facility		$76,295.35	$76,295.35	$76,295.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.48 / $1,000.48 / $1,000.48	Professional		$1,000.48	$1,000.48	$1,000.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $76,295.35 / $76,295.35 / $76,295.35	Facility		$76,295.35	$76,295.35	$76,295.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $585.38 / $1,000.48 / $1,000.48	Professional		$585.38	$1,000.48	$1,000.48