Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $117.17 / $146.46	Professional		$117.17	$117.17	$146.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $372.77 / $495.45	Facility		$319.00	$372.77	$495.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $240.65 / $481.88	Professional		$142.84	$240.65	$481.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.17 / $142.19 / $244.14	Facility		$79.17	$142.19	$244.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $142.19 / $244.14	Facility		$85.96	$142.19	$244.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.79 / $575.40 / $575.40	Professional		$407.79	$575.40	$575.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.17 / $142.19 / $244.14	Facility		$79.17	$142.19	$244.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $167.41 / $456.60	Facility		$167.41	$167.41	$456.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $407.79 / $575.40	Professional		$167.41	$407.79	$575.40