Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $17,436.00	Facility		$6,293.00	$10,261.00	$17,436.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,651.71 / $1,651.71 / $1,651.71	Professional		$1,651.71	$1,651.71	$1,651.71
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 $538.70 / $593.63 / $899.93	Professional		$538.70	$593.63	$899.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,075.76 / $1,075.76 / $1,075.76	Facility		$1,075.76	$1,075.76	$1,075.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,076.00 / $1,651.71 / $1,651.71	Professional		$1,076.00	$1,651.71	$1,651.71