Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.20	Professional		$3.02	$3.02	$5.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $26.33 / $122.58	Professional		$21.06	$26.33	$122.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Facility		$13.56	$13.56	$13.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Facility		$13.56	$13.56	$13.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $65.00 / $3,000.00	Professional		$23.34	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Facility		$13.56	$13.56	$13.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $23.82	Professional		$23.82	$23.82	$23.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00