Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $154.88	Professional		$123.03	$123.03	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38,904.51 / $38,904.51 / $38,904.51	Facility		$38,904.51	$38,904.51	$38,904.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $602.56	Facility		$323.59	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $398.11	Professional		$199.53	$331.13	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $371.54	Facility		$275.42	$275.42	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $776.25	Professional		$562.34	$776.25	$776.25
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 $229.09 / $229.09 / $371.54	Facility		$229.09	$229.09	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $776.25 / $776.25	Professional		$331.13	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21