Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $310.64 / $412.87	Facility		$265.83	$310.64	$412.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $200.54 / $424.43	Professional		$91.49	$200.54	$424.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $110.92 / $197.26	Facility		$46.59	$110.92	$197.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $112.31 / $224.71	Facility		$47.12	$112.31	$224.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $1,397.77 / $1,397.77	Professional		$816.00	$1,397.77	$1,397.77
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 $46.59 / $110.92 / $197.26	Facility		$46.59	$110.92	$197.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.36 / $139.36 / $2,922.50	Facility		$139.36	$139.36	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $816.00 / $1,397.77	Professional		$139.36	$816.00	$1,397.77