Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,979.00 / $28,532.80	Facility		$12,080.00	$16,979.00	$28,532.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,703.39 / $4,703.39 / $5,344.78	Professional		$4,703.39	$4,703.39	$5,344.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $15,126.48 / $15,126.48 / $15,126.48	Professional		$15,126.48	$15,126.48	$15,126.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,075.89 / $6,075.89 / $9,213.18	Professional		$6,075.89	$6,075.89	$9,213.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,955.87 / $9,955.87 / $9,955.87	Facility		$9,955.87	$9,955.87	$9,955.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,951.79 / $15,126.48 / $15,126.48	Professional		$9,951.79	$15,126.48	$15,126.48