Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $7,079.46	Facility		$3,019.95	$4,677.35	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,090.30	Facility		$2,137.96	$2,137.96	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $17,782.79 / $19,498.45	Facility		$16,982.44	$17,782.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,890.45	Professional		$1,659.59	$1,949.84	$3,890.45