Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $109.09	Professional		$87.87	$87.87	$109.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $275.89 / $366.69	Facility		$236.09	$275.89	$366.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $262.16 / $325.33	Professional		$152.05	$262.16	$325.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.68 / $201.68 / $372.36	Facility		$201.68	$201.68	$372.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.95 / $523.28 / $523.28	Professional		$406.95	$523.28	$523.28
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 $105.25 / $164.35 / $372.36	Facility		$105.25	$164.35	$372.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $406.95 / $523.28	Professional		$160.11	$406.95	$523.28