Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $93.08	Professional		$5.18	$5.18	$93.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $64.30 / $73.06	Professional		$16.11	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $29.32	Facility		$16.07	$16.07	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $112.04	Facility		$16.07	$16.07	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.34 / $49.79	Professional		$13.16	$19.34	$49.79
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 $16.07 / $16.07 / $29.32	Facility		$16.07	$16.07	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $56.98 / $80.05	Professional		$32.32	$56.98	$80.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $50.00 / $112.04	Facility		$45.88	$50.00	$112.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $18.94 / $42.55	Professional		$12.48	$18.94	$42.55