Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $39.39 / $49.49	Professional		$39.39	$39.39	$49.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $126.36 / $167.95	Facility		$108.13	$126.36	$167.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $82.40 / $163.35	Professional		$54.18	$82.40	$163.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $50.17 / $83.74	Facility		$30.24	$50.17	$83.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $50.04 / $83.74	Facility		$31.89	$50.04	$83.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $199.08 / $199.08	Professional		$155.79	$199.08	$199.08
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 $30.24 / $50.17 / $83.74	Facility		$30.24	$50.17	$83.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $63.95 / $90.00	Facility		$60.00	$63.95	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $155.79 / $199.08	Professional		$63.95	$155.79	$199.08