Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.20 / $25.25	Professional		$20.20	$20.20	$25.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $63.42 / $79.20	Professional		$35.06	$63.42	$79.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $2,959.51 / $2,959.51	Professional		$106.19	$2,959.51	$2,959.51
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 $37.40 / $72.40 / $2,959.51	Professional		$37.40	$72.40	$2,959.51