Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $356.37 / $633.10	Professional		$159.69	$356.37	$633.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $292.66 / $332.56	Professional		$292.66	$292.66	$332.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $177.60 / $310.66	Facility		$111.72	$177.60	$310.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $177.60 / $376.87	Facility		$120.33	$177.60	$376.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.31 / $423.00 / $1,172.58	Professional		$201.31	$423.00	$1,172.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $586.86	Professional		$50.00	$65.00	$586.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $177.60 / $310.66	Facility		$120.33	$177.60	$310.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $481.25 / $676.13	Professional		$317.70	$481.25	$676.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $946.16 / $946.16 / $946.16	Facility		$946.16	$946.16	$946.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $823.32 / $824.70 / $1,172.58	Professional		$823.32	$824.70	$1,172.58
United Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $204.60 / $208.39	Facility		$204.60	$204.60	$208.39
United Facility/Professional Professional Modifier Low / Median / High Price $193.48 / $395.51 / $797.41	Professional		$193.48	$395.51	$797.41