Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $314.14 / $392.92	Professional		$314.14	$314.14	$392.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.46 / $996.17 / $1,606.78	Facility		$852.46	$996.17	$1,606.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $354.75 / $443.44	Professional		$186.38	$354.75	$443.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.86 / $322.86 / $322.86	Facility		$322.86	$322.86	$322.86
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 $322.86 / $322.86 / $322.86	Facility		$322.86	$322.86	$322.86