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 $2,254.60 / $2,634.68 / $4,249.64	Facility		$2,254.60	$2,634.68	$4,249.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.86 / $2,834.73 / $3,582.04	Professional		$1,700.86	$2,834.73	$3,582.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,347.00 / $4,729.09 / $4,729.09	Professional		$1,347.00	$4,729.09	$4,729.09
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 $4,777.50 / $4,777.50 / $4,777.50	Facility		$4,777.50	$4,777.50	$4,777.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,623.97 / $4,729.09 / $4,729.09	Professional		$3,623.97	$4,729.09	$4,729.09