Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,979.00 / $28,532.80	Facility		$12,080.00	$16,979.00	$28,532.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,198.98 / $3,738.26 / $6,029.68	Facility		$3,198.98	$3,738.26	$6,029.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,413.29 / $3,852.40 / $5,107.52	Professional		$2,413.29	$3,852.40	$5,107.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,648.00 / $13,636.00 / $13,636.00	Professional		$2,648.00	$13,636.00	$13,636.00
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 $2,934.98 / $5,509.17 / $5,509.17	Professional		$2,934.98	$5,509.17	$5,509.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,432.86 / $5,432.86 / $5,432.86	Facility		$5,432.86	$5,432.86	$5,432.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,237.55 / $13,636.00 / $13,636.00	Professional		$5,237.55	$13,636.00	$13,636.00