Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $55.55 / $69.69	Professional		$55.55	$55.55	$69.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $63.31	Facility		$36.36	$36.36	$63.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $176.91 / $235.13	Facility		$151.38	$176.91	$235.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $118.94 / $159.13	Professional		$72.22	$118.94	$159.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $139.38 / $139.38	Facility		$139.38	$139.38	$139.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $350.87 / $350.87	Professional		$220.70	$350.87	$350.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $39.97 / $123.71	Professional		$32.07	$39.97	$123.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $67.17 / $139.38	Facility		$67.17	$67.17	$139.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $242.10 / $350.87	Professional		$148.91	$242.10	$350.87