Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.74 / $226.40 / $300.91	Facility		$193.74	$226.40	$300.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $136.38 / $231.96	Professional		$109.11	$136.38	$231.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $124.80 / $141.38	Facility		$66.50	$124.80	$141.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $129.60 / $273.93	Facility		$70.78	$129.60	$273.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $426.00	Professional		$426.00	$426.00	$426.00
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 $66.50 / $124.80 / $141.38	Facility		$66.50	$124.80	$141.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $273.93 / $273.93	Facility		$120.00	$273.93	$273.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $426.00 / $426.00	Professional		$237.90	$426.00	$426.00