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 Professional Modifier Low / Median / High Price $834.02 / $834.02 / $834.02	Professional		$834.02	$834.02	$834.02
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 $402.49 / $443.53 / $636.91	Professional		$402.49	$443.53	$636.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $418.09 / $418.09 / $418.09	Facility		$418.09	$418.09	$418.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.77 / $834.02 / $834.02	Professional		$414.77	$834.02	$834.02