Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $10.09	Professional		$6.62	$6.62	$10.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $26.85 / $124.99	Professional		$21.48	$26.85	$124.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Facility		$17.69	$17.69	$17.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Facility		$17.69	$17.69	$17.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $65.00 / $3,000.00	Professional		$54.56	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Facility		$17.69	$17.69	$17.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $52.23 / $52.23	Professional		$52.23	$52.23	$52.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00