Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.92 / $792.92 / $991.91	Professional		$792.92	$792.92	$991.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,451.46 / $2,864.72 / $3,867.21	Facility		$2,451.46	$2,864.72	$3,867.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $1,207.53 / $3,427.42	Professional		$324.45	$1,207.53	$3,427.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.75 / $931.14 / $1,572.28	Facility		$239.75	$931.14	$1,572.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.18 / $913.89 / $1,689.45	Facility		$211.18	$913.89	$1,689.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,869.46 / $3,853.58 / $3,853.58	Professional		$1,869.46	$3,853.58	$3,853.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $239.75 / $931.14 / $1,572.28	Facility		$239.75	$931.14	$1,572.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $520.05 / $520.05 / $520.05	Facility		$520.05	$520.05	$520.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $1,869.46 / $3,853.58	Professional		$520.05	$1,869.46	$3,853.58