Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,870.00 / $16,241.00 / $23,060.00	Facility		$10,870.00	$16,241.00	$23,060.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,556.96 / $5,325.17 / $8,168.95	Facility		$4,556.96	$5,325.17	$8,168.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.38 / $2,954.96 / $3,357.91	Professional		$1,896.38	$2,954.96	$3,357.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,166.74 / $5,166.74 / $5,166.74	Professional		$5,166.74	$5,166.74	$5,166.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,470.06 / $4,470.06 / $4,470.06	Facility		$4,470.06	$4,470.06	$4,470.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,023.35 / $5,166.74 / $5,166.74	Professional		$3,023.35	$5,166.74	$5,166.74