Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $60.60 / $75.75	Professional		$60.60	$60.60	$75.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.91 / $192.70 / $295.61	Facility		$164.91	$192.70	$295.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $68.63 / $85.78	Professional		$44.63	$68.63	$85.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $87.78 / $275.02	Professional		$87.78	$87.78	$275.02
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 $87.78 / $87.78 / $275.02	Professional		$87.78	$87.78	$275.02