Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $5.90 / $8.99	Professional		$5.90	$5.90	$8.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $29.94 / $139.41	Professional		$23.95	$29.94	$139.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
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 $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $46.58 / $46.58	Professional		$46.58	$46.58	$46.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00