Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Professional		$104.74	$104.74	$104.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $90.00	Facility		$80.00	$80.00	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $90.00	Facility		$65.00	$80.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Professional		$104.74	$104.74	$104.74