Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $18.18 / $23.23	Professional		$18.18	$18.18	$23.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $57.45 / $72.73	Professional		$31.43	$57.45	$72.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $140.99 / $140.99	Professional		$95.38	$140.99	$140.99
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 $33.36 / $68.08 / $140.99	Professional		$33.36	$68.08	$140.99