Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $93.08	Professional		$8.93	$8.93	$93.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $64.30 / $73.06	Professional		$32.21	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $29.32	Facility		$19.13	$19.13	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $171.00	Facility		$19.13	$19.13	$171.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.34 / $61.21	Professional		$13.16	$19.34	$61.21
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 $19.13 / $19.13 / $29.32	Facility		$19.13	$19.13	$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 / $171.00	Facility		$45.88	$50.00	$171.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $18.36 / $61.21	Professional		$12.48	$18.36	$61.21