Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.92 / $492.92 / $615.15	Professional		$492.92	$492.92	$615.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.08 / $1,575.33 / $2,540.96	Facility		$1,348.08	$1,575.33	$2,540.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $844.64 / $2,141.78	Professional		$154.88	$844.64	$2,141.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $326.00 / $942.79	Facility		$118.46	$326.00	$942.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.26 / $338.40 / $942.79	Facility		$118.26	$338.40	$942.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $3,174.88 / $3,174.88	Professional		$952.00	$3,174.88	$3,174.88
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 $118.26 / $326.00 / $876.88	Facility		$118.26	$326.00	$876.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $692.99 / $692.99 / $4,085.55	Facility		$692.99	$692.99	$4,085.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.02 / $3,174.88 / $3,174.88	Professional		$237.02	$3,174.88	$3,174.88