Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.32 / $2,047.97 / $7,293.97	Professional		$769.32	$2,047.97	$7,293.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $473.52 / $5,282.57	Facility		$312.60	$473.52	$5,282.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.52 / $5,558.00 / $9,469.00	Facility		$473.52	$5,558.00	$9,469.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,313.01 / $2,668.39 / $5,960.08	Professional		$1,313.01	$2,668.39	$5,960.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $473.52 / $5,282.57	Facility		$312.60	$473.52	$5,282.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.59 / $1,503.58 / $2,429.60	Professional		$807.59	$1,503.58	$2,429.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36,459.75 / $36,459.75 / $36,459.75	Facility		$36,459.75	$36,459.75	$36,459.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,683.94 / $3,587.07 / $5,960.08	Professional		$2,683.94	$3,587.07	$5,960.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,099.00 / $2,099.00 / $2,099.00	Facility		$2,099.00	$2,099.00	$2,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,389.33 / $3,237.85 / $6,358.05	Professional		$1,389.33	$3,237.85	$6,358.05