Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,925.00 / $25,614.00	Facility		$13,123.00	$17,925.00	$25,614.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,140.40 / $3,669.81 / $5,919.27	Facility		$3,140.40	$3,669.81	$5,919.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,369.10 / $3,779.97 / $5,014.00	Professional		$2,369.10	$3,779.97	$5,014.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $14,489.00 / $14,489.00	Professional		$2,754.00	$14,489.00	$14,489.00
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 $2,879.16 / $5,401.59 / $5,401.59	Professional		$2,879.16	$5,401.59	$5,401.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $5,328.00 / $5,328.00	Facility		$5,328.00	$5,328.00	$5,328.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,139.09 / $14,489.00 / $14,489.00	Professional		$5,139.09	$14,489.00	$14,489.00