Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,471.00	Facility		$1,314.00	$2,856.00	$4,471.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $15.39	Professional		$13.54	$13.54	$15.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.25 / $1,049.25 / $1,049.25	Facility		$1,049.25	$1,049.25	$1,049.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.91 / $485.91 / $485.91	Professional		$485.91	$485.91	$485.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $70.00 / $70.00	Professional		$65.00	$70.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $689.52 / $696.56 / $1,049.25	Facility		$689.52	$696.56	$1,049.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $485.91 / $485.91	Professional		$212.75	$485.91	$485.91