Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $101.01	Professional		$81.81	$81.81	$101.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $257.99 / $395.77	Facility		$220.77	$257.99	$395.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $157.13 / $303.49	Professional		$80.06	$157.13	$303.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $418.89 / $418.89	Professional		$317.00	$418.89	$418.89
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 $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $271.24 / $418.89	Professional		$78.34	$271.24	$418.89