Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $57.57 / $71.70	Professional		$57.57	$57.57	$71.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $182.17 / $279.45	Facility		$155.88	$182.17	$279.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $129.43 / $147.35	Professional		$40.40	$129.43	$147.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $304.19 / $304.19	Professional		$116.87	$304.19	$304.19
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 $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $116.87 / $304.19	Professional		$41.76	$116.87	$304.19