Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $7,413.10	Facility		$3,019.95	$3,019.95	$7,413.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $741.31	Facility	AS	$302.00	$302.00	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,943.28	Facility		$7,413.10	$7,413.10	$7,943.28