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 $1,237.24 / $1,445.81 / $2,332.04	Facility		$1,237.24	$1,445.81	$2,332.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.37 / $1,489.36 / $1,965.68	Professional		$933.37	$1,489.36	$1,965.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $752.00 / $8,295.00 / $8,295.00	Professional		$752.00	$8,295.00	$8,295.00
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 $1,048.48 / $1,907.81 / $1,907.81	Professional		$1,048.48	$1,907.81	$1,907.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,493.75 / $9,493.75 / $9,493.75	Facility		$9,493.75	$9,493.75	$9,493.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,004.48 / $8,295.00 / $8,295.00	Professional		$2,004.48	$8,295.00	$8,295.00