Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $13.90	Professional		$8.06	$8.06	$13.90
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 $16.86 / $16.86 / $16.86	Facility		$16.86	$16.86	$16.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Facility		$16.86	$16.86	$16.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $85.00 / $3,000.00	Professional		$32.15	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Facility		$16.86	$16.86	$16.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $63.58 / $63.58	Professional		$63.58	$63.58	$63.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00