Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $115.15 / $144.44	Professional		$115.15	$115.15	$144.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.58 / $366.45 / $562.15	Facility		$313.58	$366.45	$562.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $130.50 / $163.13	Professional		$82.50	$130.50	$163.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $164.06 / $527.02	Professional		$164.06	$164.06	$527.02
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 Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $164.06 / $527.02	Professional		$164.06	$164.06	$527.02