Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $126.26 / $157.57	Professional		$126.26	$126.26	$157.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $109.26 / $146.11	Facility		$109.26	$109.26	$146.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.52 / $399.10 / $530.42	Facility		$341.52	$399.10	$530.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $271.83 / $404.29	Professional		$198.32	$271.83	$404.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $385.50 / $385.50 / $385.50	Facility		$385.50	$385.50	$385.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $607.94 / $801.06 / $801.06	Professional		$607.94	$801.06	$801.06
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 $88.82 / $111.39 / $282.86	Professional		$88.82	$111.39	$282.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.56 / $186.56 / $385.50	Facility		$186.56	$186.56	$385.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $607.94 / $801.06	Professional		$413.55	$607.94	$801.06