Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,988.00 / $28,532.80	Facility		$12,080.00	$16,988.00	$28,532.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,261.81 / $2,643.11 / $4,263.24	Facility		$2,261.81	$2,643.11	$4,263.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.30 / $3,470.10 / $3,943.30	Professional		$1,706.30	$3,470.10	$3,943.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $22,807.05 / $22,807.05 / $22,807.05	Facility		$22,807.05	$22,807.05	$22,807.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,365.45 / $4,365.45 / $4,365.45	Professional		$4,365.45	$4,365.45	$4,365.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,807.05 / $22,807.05 / $22,807.05	Facility		$22,807.05	$22,807.05	$22,807.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,565.70 / $4,365.45 / $4,365.45	Professional		$3,565.70	$4,365.45	$4,365.45