Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $3,585.00 / $5,291.00	Facility		$2,430.00	$3,585.00	$5,291.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,469.03 / $1,469.03 / $1,469.03	Facility		$1,469.03	$1,469.03	$1,469.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,925.01 / $3,925.01 / $3,925.01	Facility		$3,925.01	$3,925.01	$3,925.01