Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $4.46	Professional		$2.59	$2.59	$4.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $27.36 / $127.39	Professional		$21.89	$27.36	$127.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $14.92 / $14.92	Facility		$13.01	$14.92	$14.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $14.92 / $14.92	Facility		$7.59	$14.92	$14.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $65.00 / $3,000.00	Professional		$16.88	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $14.92 / $14.92	Facility		$13.01	$14.92	$14.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
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 $6.62 / $6.62 / $6.62	Professional		$6.62	$6.62	$6.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $6.62	Professional		$6.62	$6.62	$6.62