Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $101.09 / $134.36	Facility		$86.51	$101.09	$134.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $60.90 / $103.57	Professional		$48.72	$60.90	$103.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $64.26 / $170.67	Facility		$39.61	$64.26	$170.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $68.84 / $217.49	Facility		$39.61	$68.84	$217.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $236.59 / $236.59	Professional		$236.59	$236.59	$236.59
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 $39.61 / $65.28 / $170.67	Facility		$39.61	$65.28	$170.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $1,974.91 / $1,974.91	Facility		$94.00	$1,974.91	$1,974.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $236.59 / $236.59	Professional		$112.73	$236.59	$236.59