Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.69 / $469.69 / $586.86	Professional		$469.69	$469.69	$586.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.88 / $1,481.61 / $2,389.79	Facility		$1,267.88	$1,481.61	$2,389.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.63 / $353.85 / $659.53	Professional		$278.63	$353.85	$659.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.30 / $486.30 / $486.30	Facility		$486.30	$486.30	$486.30
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 $486.30 / $486.30 / $486.30	Facility		$486.30	$486.30	$486.30