Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $221.14 / $339.23	Facility		$189.24	$221.14	$339.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $133.60 / $260.14	Professional		$75.90	$133.60	$260.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $88.20 / $148.19	Facility		$57.33	$88.20	$148.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $88.20 / $148.19	Facility		$57.33	$88.20	$148.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $491.77 / $491.77	Professional		$322.00	$491.77	$491.77
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 $57.33 / $88.20 / $148.19	Facility		$57.33	$88.20	$148.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $135.97 / $135.97	Facility		$135.97	$135.97	$135.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $322.00 / $491.77	Professional		$135.97	$322.00	$491.77