Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,351.00 / $4,314.00 / $5,962.00	Facility		$2,351.00	$4,314.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,363.88 / $3,930.96 / $6,340.50	Facility		$3,363.88	$3,930.96	$6,340.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.88 / $1,441.87 / $1,749.84	Professional		$1,399.88	$1,441.87	$1,749.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,317.02 / $4,317.02 / $4,317.02	Professional		$4,317.02	$4,317.02	$4,317.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,484.00 / $1,484.00 / $1,869.90	Professional		$1,484.00	$1,484.00	$1,869.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83,492.39 / $83,492.39 / $83,492.39	Facility		$83,492.39	$83,492.39	$83,492.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,287.94 / $4,317.02 / $4,317.02	Professional		$2,287.94	$4,317.02	$4,317.02