Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $17,436.00	Facility		$6,293.00	$10,261.00	$17,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,869.17 / $3,352.85 / $5,408.02	Facility		$2,869.17	$3,352.85	$5,408.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,164.48 / $3,474.43 / $4,558.43	Professional		$2,164.48	$3,474.43	$4,558.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,727.00 / $8,711.23 / $8,711.23	Professional		$1,727.00	$8,711.23	$8,711.23
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 $2,469.58 / $4,543.62 / $4,543.62	Professional		$2,469.58	$4,543.62	$4,543.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,634.55 / $4,634.55 / $4,634.55	Facility		$4,634.55	$4,634.55	$4,634.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,676.13 / $8,711.23 / $8,711.23	Professional		$4,676.13	$8,711.23	$8,711.23