Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $141.25	Professional		$83.18	$114.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $89.13	Facility		$79.43	$79.43	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $162.18	Professional		$50.12	$64.57	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18