Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,057.00 / $7,773.00 / $13,152.00	Facility		$5,057.00	$7,773.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,989.02 / $3,492.90 / $5,358.20	Facility		$2,989.02	$3,492.90	$5,358.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,254.90 / $4,627.62 / $5,258.66	Professional		$2,254.90	$4,627.62	$5,258.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $14,660.15 / $14,660.15 / $14,660.15	Professional		$14,660.15	$14,660.15	$14,660.15
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 $2,710.20 / $4,579.63 / $4,579.63	Professional		$2,710.20	$4,579.63	$4,579.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,015.51 / $5,015.51 / $5,015.51	Facility		$5,015.51	$5,015.51	$5,015.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,871.39 / $14,660.15 / $14,660.15	Professional		$4,871.39	$14,660.15	$14,660.15
United Facility/Professional Facility Modifier Low / Median / High Price $13,417.00 / $13,752.00 / $15,791.00	Facility		$13,417.00	$13,752.00	$15,791.00