Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $26.26	Professional		$21.21	$21.21	$26.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $64.51 / $81.81	Professional		$35.65	$64.51	$81.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $5,919.01 / $5,919.01	Professional		$122.00	$5,919.01	$5,919.01
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 $37.85 / $74.56 / $5,919.01	Professional		$37.85	$74.56	$5,919.01