Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,057.00 / $7,773.00 / $13,152.00	Facility		$5,057.00	$7,773.00	$13,152.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20,533.65 / $20,533.65 / $20,533.65	Facility		$20,533.65	$20,533.65	$20,533.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $854.42 / $854.42 / $854.42	Professional		$854.42	$854.42	$854.42
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 $20,533.65 / $20,533.65 / $20,533.65	Facility		$20,533.65	$20,533.65	$20,533.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.96 / $854.42 / $854.42	Professional		$499.96	$854.42	$854.42