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 $3,749.56 / $4,381.66 / $7,067.46	Facility		$3,749.56	$4,381.66	$7,067.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,828.65 / $5,260.55 / $5,977.90	Professional		$2,828.65	$5,260.55	$5,977.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,347.80 / $6,347.80 / $6,347.80	Facility		$6,347.80	$6,347.80	$6,347.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $11,001.20 / $11,001.20 / $11,001.20	Professional		$11,001.20	$11,001.20	$11,001.20
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 $3,443.38 / $6,613.52 / $6,613.52	Professional		$3,443.38	$6,613.52	$6,613.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,347.80 / $6,347.80 / $6,347.80	Facility		$6,347.80	$6,347.80	$6,347.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,115.50 / $11,001.20 / $11,001.20	Professional		$6,115.50	$11,001.20	$11,001.20