Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $75.75 / $94.94	Professional		$75.75	$75.75	$94.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $241.14 / $369.92	Facility		$206.36	$241.14	$369.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $240.56 / $437.60	Professional		$131.66	$240.56	$437.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.42 / $414.09 / $414.09	Professional		$401.42	$414.09	$414.09
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 $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $263.47 / $414.09	Professional		$141.32	$263.47	$414.09