Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $14.66	Professional		$8.50	$8.50	$14.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.61 / $165.85	Professional		$28.50	$35.61	$165.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $69.95 / $3,000.00	Professional		$55.00	$69.95	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $66.98 / $66.98	Professional		$66.98	$66.98	$66.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00