Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $89.57	Facility		$57.67	$67.39	$89.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $93.95 / $106.76	Professional		$40.60	$93.95	$106.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $41.60 / $105.18	Facility		$26.26	$41.60	$105.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $43.00 / $202.93	Facility		$26.26	$43.00	$202.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
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 $26.26 / $43.00 / $105.18	Facility		$26.26	$43.00	$105.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $1,974.91 / $1,974.91	Facility		$60.00	$1,974.91	$1,974.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $165.00 / $165.00	Professional		$72.53	$165.00	$165.00