Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,971.71 / $1,971.71 / $2,464.64	Professional		$1,971.71	$1,971.71	$2,464.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,388.70 / $6,297.12 / $9,659.94	Facility		$5,388.70	$6,297.12	$9,659.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $3,284.81 / $8,561.39	Professional		$159.44	$3,284.81	$8,561.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $270.27 / $3,239.11	Facility		$113.10	$270.27	$3,239.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $257.17 / $3,837.28	Facility		$113.37	$257.17	$3,837.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,147.21 / $11,431.36 / $11,431.36	Professional		$3,147.21	$11,431.36	$11,431.36
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 $113.10 / $218.26 / $3,141.29	Facility		$113.10	$218.26	$3,141.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.34 / $245.34 / $9,980.60	Facility		$245.34	$245.34	$9,980.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $11,431.36 / $11,431.36	Professional		$245.34	$11,431.36	$11,431.36