Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $5.70	Professional		$3.74	$3.74	$5.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $101.77	Facility		$56.77	$66.34	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $32.52 / $151.43	Professional		$26.02	$32.52	$151.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Facility		$16.76	$16.76	$16.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.76 / $16.76	Facility		$7.59	$16.76	$16.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $65.00 / $3,000.00	Professional		$30.82	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Facility		$16.76	$16.76	$16.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Professional		$9.23	$9.23	$9.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Professional		$9.23	$9.23	$9.23