Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $17,436.00	Facility		$6,293.00	$10,261.00	$17,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,382.39 / $6,289.75 / $10,145.14	Facility		$5,382.39	$6,289.75	$10,145.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,239.88 / $2,307.07 / $2,799.84	Professional		$2,239.88	$2,307.07	$2,799.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,504.72 / $5,504.72 / $5,504.72	Professional		$5,504.72	$5,504.72	$5,504.72
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 $1,658.54 / $1,658.54 / $2,089.84	Professional		$1,658.54	$1,658.54	$2,089.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65,302.40 / $65,302.40 / $65,302.40	Facility		$65,302.40	$65,302.40	$65,302.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,095.91 / $5,504.72 / $5,504.72	Professional		$3,095.91	$5,504.72	$5,504.72