Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $436.52	Facility		$234.42	$275.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $302.00	Professional		$141.25	$251.19	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $371.54	Facility		$199.53	$199.53	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $524.81	Professional		$407.38	$524.81	$524.81
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 $165.96 / $165.96 / $371.54	Facility		$165.96	$165.96	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $524.81	Professional		$331.13	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $144.54	Professional		$79.43	$95.50	$144.54