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 $3,003.43 / $3,509.75 / $5,661.10	Facility		$3,003.43	$3,509.75	$5,661.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.77 / $3,614.78 / $4,795.31	Professional		$2,265.77	$3,614.78	$4,795.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,591.00 / $14,233.00 / $14,233.00	Professional		$2,591.00	$14,233.00	$14,233.00
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 $2,751.69 / $5,161.68 / $5,161.68	Professional		$2,751.69	$5,161.68	$5,161.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,091.57 / $5,091.57 / $5,091.57	Facility		$5,091.57	$5,091.57	$5,091.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,914.50 / $14,233.00 / $14,233.00	Professional		$4,914.50	$14,233.00	$14,233.00