Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.19 / $23.23	Professional		$19.19	$19.19	$23.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $59.05 / $74.03	Professional		$32.64	$59.05	$74.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $142.69 / $142.69	Professional		$98.70	$142.69	$142.69
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 $34.63 / $69.17 / $142.69	Professional		$34.63	$69.17	$142.69