Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $9.88	Professional		$6.48	$6.48	$9.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $35.11 / $163.44	Professional		$28.08	$35.11	$163.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Facility		$19.46	$19.46	$19.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Facility		$19.46	$19.46	$19.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $85.00 / $3,000.00	Professional		$53.36	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Facility		$19.46	$19.46	$19.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $51.07	Professional		$51.07	$51.07	$51.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00