Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $93.08	Professional		$5.33	$5.33	$93.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $64.30 / $73.06	Professional		$22.30	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $29.32	Facility		$15.70	$15.70	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $112.04	Facility		$15.70	$15.70	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $19.34 / $49.06	Professional		$13.13	$19.34	$49.06
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 $15.70 / $15.70 / $29.32	Facility		$15.70	$15.70	$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 $11.97 / $18.36 / $49.06	Professional		$11.97	$18.36	$49.06