Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $132.68 / $203.54	Facility		$113.54	$132.68	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $69.20 / $156.08	Professional		$17.55	$69.20	$156.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $48.27 / $82.69	Facility		$13.22	$48.27	$82.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $48.27 / $98.71	Facility		$13.22	$48.27	$98.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $93.35 / $198.55	Professional		$93.35	$93.35	$198.55
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 $13.22 / $48.27 / $82.69	Facility		$13.22	$48.27	$82.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $205.75 / $205.75 / $205.75	Facility		$205.75	$205.75	$205.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $93.35 / $198.55	Professional		$31.56	$93.35	$198.55