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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,975.50 / $3,477.11 / $5,608.45	Facility		$2,975.50	$3,477.11	$5,608.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,919.43 / $4,919.43 / $4,919.43	Facility		$4,919.43	$4,919.43	$4,919.43
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $491.94 / $491.94 / $491.94	Facility	AS	$491.94	$491.94	$491.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,680.03 / $5,227.57 / $5,227.57	Professional		$2,680.03	$5,227.57	$5,227.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,919.43 / $4,919.43 / $4,919.43	Facility		$4,919.43	$4,919.43	$4,919.43
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $491.94 / $491.94 / $491.94	Facility	AS	$491.94	$491.94	$491.94