Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $124.24 / $155.55	Professional		$124.24	$124.24	$155.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.92 / $394.89 / $605.77	Facility		$337.92	$394.89	$605.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $383.80 / $479.20	Professional		$212.17	$383.80	$479.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $657.30 / $657.30	Professional		$623.53	$657.30	$657.30
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 $270.45 / $270.45 / $270.45	Facility		$270.45	$270.45	$270.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $400.93 / $657.30	Professional		$224.33	$400.93	$657.30