Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $120.20 / $150.50	Professional		$120.20	$120.20	$150.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.26 / $348.26 / $38,499.62	Facility		$348.26	$348.26	$38,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $381.20 / $506.64	Facility		$326.20	$381.20	$506.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.40 / $344.87 / $458.74	Professional		$214.40	$344.87	$458.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.93 / $273.93 / $375.42	Facility		$273.93	$273.93	$375.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $567.32 / $777.00 / $777.00	Professional		$567.32	$777.00	$777.00
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 $231.40 / $231.40 / $273.93	Facility		$231.40	$231.40	$273.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $567.32 / $777.00	Professional		$220.49	$567.32	$777.00