Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $42.42 / $53.53	Professional		$42.42	$42.42	$53.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $133.72 / $177.74	Facility		$114.44	$133.72	$177.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $78.95 / $136.38	Professional		$50.98	$78.95	$136.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $176.00	Facility		$90.00	$90.00	$176.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $206.00 / $206.00	Professional		$132.00	$206.00	$206.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $90.00 / $176.00	Facility		$70.00	$90.00	$176.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $132.00 / $206.00	Professional		$51.64	$132.00	$206.00