Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $23,264.00 / $38,530.00	Facility		$10,878.00	$23,264.00	$38,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $623.38 / $623.38	Professional		$202.99	$623.38	$623.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.58 / $1,399.48 / $2,257.31	Facility		$1,197.58	$1,399.48	$2,257.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.50 / $1,096.43 / $2,167.51	Professional		$868.50	$1,096.43	$2,167.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $352.65 / $440.81	Facility		$352.65	$352.65	$440.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.09 / $15,090.00 / $24,552.00	Facility		$381.09	$15,090.00	$24,552.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $352.65 / $440.81	Facility		$352.65	$352.65	$440.81