Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $97.35 / $100.97	Facility		$83.77	$97.35	$100.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $109.90 / $157.10	Facility		$60.59	$109.90	$157.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $77.09 / $87.60	Professional		$46.13	$77.09	$87.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $208.65 / $208.65	Facility		$208.65	$208.65	$208.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $201.25 / $201.25	Professional		$201.25	$201.25	$201.25
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 Professional Modifier Low / Median / High Price $85.56 / $85.56 / $94.29	Professional		$85.56	$85.56	$94.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $208.65 / $208.65	Facility		$208.65	$208.65	$208.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $201.25 / $201.25	Professional		$56.14	$201.25	$201.25
United Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $47.60 / $50.90	Professional		$45.45	$47.60	$50.90