Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $44.44 / $55.55	Professional		$44.44	$44.44	$55.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $141.11 / $216.46	Facility		$120.75	$141.11	$216.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $100.25 / $147.35	Professional		$45.09	$100.25	$147.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $364.15 / $364.15	Professional		$125.79	$364.15	$364.15
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 $45.50 / $125.79 / $364.15	Professional		$45.50	$125.79	$364.15