Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $212.71 / $326.31	Facility		$182.03	$212.71	$326.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $110.96 / $250.23	Professional		$24.92	$110.96	$250.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $77.27 / $131.88	Facility		$18.45	$77.27	$131.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $77.27 / $158.96	Facility		$18.45	$77.27	$158.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $322.23	Professional		$150.94	$150.94	$322.23
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 $18.45 / $77.27 / $131.88	Facility		$18.45	$77.27	$131.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $150.94 / $322.23	Professional		$44.58	$150.94	$322.23