Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $31.31	Professional		$25.25	$25.25	$31.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $78.73 / $334.76	Professional		$43.09	$78.73	$334.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $245.65 / $245.65	Professional		$128.10	$245.65	$245.65
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 $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $128.10 / $245.65	Professional		$46.35	$128.10	$245.65