Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $93.08	Professional		$8.21	$8.21	$93.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $88.45 / $135.69	Facility		$75.69	$88.45	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $64.30 / $73.06	Professional		$34.69	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $29.32	Facility		$26.73	$26.73	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $203.59	Facility		$26.73	$26.73	$203.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $22.99 / $63.57	Professional		$13.13	$22.99	$63.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $85.00 / $3,000.00	Professional		$59.35	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $29.32	Facility		$26.73	$26.73	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $57.08 / $80.05	Professional		$32.32	$57.08	$80.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $50.00 / $112.04	Facility		$45.88	$50.00	$112.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $18.36 / $49.06	Professional		$11.97	$18.36	$49.06