Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $8.19	Professional		$4.75	$4.75	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $101.77	Facility		$56.77	$66.34	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $32.52 / $151.43	Professional		$26.02	$32.52	$151.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Facility		$17.27	$17.27	$17.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $17.27 / $17.27	Facility		$7.59	$17.27	$17.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $65.00 / $3,000.00	Professional		$39.13	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Facility		$17.27	$17.27	$17.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $37.47 / $37.47	Professional		$37.47	$37.47	$37.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $11.79 / $11.79	Professional		$11.79	$11.79	$11.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $11.79 / $11.79	Professional		$11.79	$11.79	$11.79