Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $274.83 / $443.31	Facility		$235.19	$274.83	$443.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $215.33 / $449.90	Professional		$170.56	$215.33	$449.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $132.78 / $212.43	Facility		$132.78	$132.78	$212.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $132.78 / $212.43	Facility		$132.78	$132.78	$212.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $760.58 / $760.58 / $760.58	Professional		$760.58	$760.58	$760.58
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 $132.78 / $132.78 / $212.43	Facility		$132.78	$132.78	$212.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $430.80 / $430.80 / $430.80	Facility		$430.80	$430.80	$430.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.42 / $344.42 / $760.58	Professional		$344.42	$344.42	$760.58