Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $19.76	Professional		$12.96	$12.96	$19.76
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 $15.26 / $15.26 / $15.26	Facility		$15.26	$15.26	$15.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $15.26	Facility		$15.26	$15.26	$15.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $15.26	Facility		$15.26	$15.26	$15.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $102.20 / $102.20	Professional		$102.20	$102.20	$102.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00