Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $15.90	Professional		$9.22	$9.22	$15.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $36.14 / $168.25	Professional		$28.91	$36.14	$168.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $18.12 / $18.12	Facility		$18.12	$18.12	$18.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $18.12 / $18.12	Facility		$7.59	$18.12	$18.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $75.87 / $3,000.00	Professional		$55.00	$75.87	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $18.12 / $18.12	Facility		$18.12	$18.12	$18.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $72.69 / $72.69	Professional		$72.69	$72.69	$72.69
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 $73.93 / $73.93 / $73.93	Professional		$73.93	$73.93	$73.93