Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $5.05	Professional		$4.04	$4.04	$5.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $21.00	Facility		$11.71	$13.69	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $12.15 / $16.88	Professional		$6.99	$12.15	$16.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $98.00 / $98.00	Professional		$87.00	$98.00	$98.00
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 $7.33 / $16.21 / $98.00	Professional		$7.33	$16.21	$98.00