Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $111.11	Professional		$89.89	$89.89	$111.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.20 / $285.37 / $437.77	Facility		$244.20	$285.37	$437.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $240.84 / $470.47	Professional		$138.69	$240.84	$470.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.58 / $2,940.00 / $2,940.00	Professional		$398.58	$2,940.00	$2,940.00
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 $140.08 / $353.01 / $2,940.00	Professional		$140.08	$353.01	$2,940.00