Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $13,803.84	Facility		$9,120.11	$9,120.11	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $3,019.95	Professional		$1,412.54	$3,019.95	$3,019.95
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 $575.44 / $1,148.15 / $1,148.15	Professional		$575.44	$1,148.15	$1,148.15