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 $4,335.29 / $5,066.13 / $8,171.48	Facility		$4,335.29	$5,066.13	$8,171.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,191.61 / $7,191.61 / $7,191.61	Facility		$7,191.61	$7,191.61	$7,191.61
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $719.16 / $719.16 / $719.16	Facility	AS	$719.16	$719.16	$719.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,902.75 / $7,657.07 / $7,657.07	Professional		$3,902.75	$7,657.07	$7,657.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,191.61 / $7,191.61 / $7,191.61	Facility		$7,191.61	$7,191.61	$7,191.61
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $719.16 / $719.16 / $719.16	Facility	AS	$719.16	$719.16	$719.16