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 / $93.08	Professional		$4.75	$4.75	$93.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $64.30 / $73.06	Professional		$20.23	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $15.94 / $29.32	Facility		$15.94	$15.94	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $15.94 / $112.04	Facility		$15.94	$15.94	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $19.34 / $43.20	Professional		$11.62	$19.34	$43.20
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 $15.94 / $15.94 / $29.32	Facility		$15.94	$15.94	$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 Facility Modifier Low / Median / High Price $13.62 / $13.62 / $19.14	Facility		$13.62	$13.62	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.36 / $43.20	Professional		$11.56	$14.36	$43.20