Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.93	Professional		$3.89	$3.89	$5.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $35.11 / $163.44	Professional		$28.08	$35.11	$163.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $19.29 / $19.29	Facility		$18.75	$19.29	$19.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $19.29 / $19.29	Facility		$7.59	$19.29	$19.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $65.00 / $3,000.00	Professional		$26.68	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $19.29 / $19.29	Facility		$18.75	$19.29	$19.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $30.65 / $30.65	Professional		$30.65	$30.65	$30.65
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 $9.53 / $9.53 / $9.53	Professional		$9.53	$9.53	$9.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $9.53	Professional		$9.53	$9.53	$9.53