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 $3,784.70 / $4,422.72 / $7,133.70	Facility		$3,784.70	$4,422.72	$7,133.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,265.25 / $6,265.25 / $6,265.25	Facility		$6,265.25	$6,265.25	$6,265.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $626.53 / $626.53 / $626.53	Facility	AS	$626.53	$626.53	$626.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,404.16 / $6,682.96 / $6,682.96	Professional		$3,404.16	$6,682.96	$6,682.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,265.25 / $6,265.25 / $6,265.25	Facility		$6,265.25	$6,265.25	$6,265.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $626.53 / $626.53 / $626.53	Facility	AS	$626.53	$626.53	$626.53