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 $4,448.80 / $4,448.80 / $4,448.80	Professional		$4,448.80	$4,448.80	$4,448.80
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 $1,250.58 / $1,250.58 / $1,575.79	Professional		$1,250.58	$1,250.58	$1,575.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87,969.10 / $87,969.10 / $87,969.10	Facility		$87,969.10	$87,969.10	$87,969.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,502.14 / $4,448.80 / $4,448.80	Professional		$2,502.14	$4,448.80	$4,448.80