Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $3,388.44	Professional		$1,905.46	$3,019.95	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,570.88	Facility		$3,019.95	$3,019.95	$4,570.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $5,370.32	Professional		$3,019.95	$5,370.32	$5,370.32
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 / $2,511.89 / $4,365.16	Professional		$1,659.59	$2,511.89	$4,365.16