Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $109.17	Facility		$70.29	$82.14	$109.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $49.48 / $84.15	Professional		$39.59	$49.48	$84.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.57 / $49.40 / $54.72	Facility		$26.57	$49.40	$54.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $51.30 / $103.41	Facility		$29.52	$51.30	$103.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $161.76 / $161.76	Professional		$161.76	$161.76	$161.76
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 $29.52 / $51.30 / $55.88	Facility		$29.52	$51.30	$55.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $103.41 / $103.41	Facility		$64.31	$103.41	$103.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $161.76 / $161.76	Professional		$81.36	$161.76	$161.76