Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $123.20 / $163.75	Facility		$105.43	$123.20	$163.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $74.22 / $126.23	Professional		$59.38	$74.22	$126.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $75.20 / $183.57	Facility		$42.61	$75.20	$183.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $78.09 / $221.13	Facility		$45.86	$78.09	$221.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $242.00 / $242.00	Professional		$242.00	$242.00	$242.00
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 $45.86 / $77.40 / $183.57	Facility		$45.86	$77.40	$183.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $119.28 / $268.57 / $268.57	Facility		$119.28	$268.57	$268.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $242.00 / $242.00	Professional		$117.62	$242.00	$242.00