Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $109.65	Professional		$54.95	$74.13	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $83.18	Facility		$30.20	$43.65	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.98 / $89.13	Facility		$31.62	$48.98	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $199.53	Professional		$154.88	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $162.18	Facility		$64.57	$64.57	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $199.53	Professional		$107.15	$199.53	$199.53