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 / $4,471.00	Facility		$1,314.00	$2,856.00	$4,471.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,745.25 / $4,745.25 / $4,745.25	Professional		$4,745.25	$4,745.25	$4,745.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,110.98 / $1,110.98 / $1,110.98	Facility		$1,110.98	$1,110.98	$1,110.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,094.90 / $1,463.33 / $4,745.25	Professional		$1,094.90	$1,463.33	$4,745.25