Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $15.15	Professional		$9.94	$9.94	$15.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $96.88 / $148.61	Facility		$82.90	$96.88	$148.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $47.50 / $221.13	Professional		$38.00	$47.50	$221.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $21.04 / $21.04	Facility		$21.04	$21.04	$21.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $21.04 / $21.04	Facility		$21.04	$21.04	$21.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $21.04 / $21.04	Facility		$21.04	$21.04	$21.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Professional		$78.34	$78.34	$78.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00