Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $151.36	Professional		$120.23	$120.23	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $316.23	Professional		$144.54	$218.78	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $245.47	Facility		$79.43	$123.03	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $245.47	Facility		$85.11	$138.04	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $575.44	Professional		$407.38	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $457.09	Facility		$165.96	$165.96	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $575.44	Professional		$316.23	$575.44	$575.44