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 $3,801.89 / $4,466.84 / $7,079.46	Facility		$3,801.89	$4,466.84	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	AS	$630.96	$630.96	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $9,332.54	Facility		$3,890.45	$3,890.45	$9,332.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $933.25	Facility	AS	$389.05	$389.05	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $14,125.38 / $15,488.17	Facility		$13,489.63	$14,125.38	$15,488.17