Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $217.17 / $271.70	Professional		$217.17	$217.17	$271.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.13 / $690.79 / $1,059.69	Facility		$591.13	$690.79	$1,059.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $246.00 / $307.50	Professional		$181.88	$246.00	$307.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $360.14 / $973.66	Professional		$360.14	$360.14	$973.66
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 $360.14 / $360.14 / $973.66	Professional		$360.14	$360.14	$973.66