Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $8.93	Professional		$5.18	$5.18	$8.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $57.92 / $88.85	Facility		$49.56	$57.92	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $28.39 / $132.19	Professional		$22.72	$28.39	$132.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $15.24	Facility		$15.24	$15.24	$15.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $25.56	Facility		$15.24	$15.24	$25.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $65.00 / $3,000.00	Professional		$35.72	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $15.24	Facility		$15.24	$15.24	$15.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $40.86	Professional		$40.86	$40.86	$40.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00