Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $248.48 / $310.10	Professional		$248.48	$248.48	$310.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.02 / $898.67 / $1,213.15	Facility		$769.02	$898.67	$1,213.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $315.91 / $1,075.18	Professional		$85.89	$315.91	$1,075.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $292.64 / $489.58	Facility		$63.31	$292.64	$489.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $272.61 / $489.58	Facility		$55.23	$272.61	$489.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.10 / $1,209.40 / $1,209.40	Professional		$591.10	$1,209.40	$1,209.40
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 $63.31 / $292.64 / $489.58	Facility		$63.31	$292.64	$489.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.33 / $137.33 / $137.33	Facility		$137.33	$137.33	$137.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $591.10 / $1,209.40	Professional		$137.33	$591.10	$1,209.40