Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $54.95	Professional		$43.65	$43.65	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $213.80	Facility		$114.82	$134.90	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $138.04	Professional		$45.71	$81.28	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $177.83 / $177.83	Facility		$89.13	$177.83	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $204.17	Professional		$131.83	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $87.10	Professional		$50.12	$64.57	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $177.83	Facility		$70.79	$70.79	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $208.93	Professional		$123.03	$208.93	$208.93