Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $93.93	Professional		$74.73	$74.73	$93.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.65 / $237.98 / $365.07	Facility		$203.65	$237.98	$365.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $129.66 / $179.73	Professional		$41.03	$129.66	$179.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $364.11 / $364.11	Professional		$119.81	$364.11	$364.11
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 $42.28 / $140.27 / $364.11	Professional		$42.28	$140.27	$364.11