Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.30 / $188.49 / $250.52	Facility		$161.30	$188.49	$250.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $365.74 / $415.61	Professional		$113.55	$365.74	$415.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.76 / $86.65 / $190.51	Facility		$51.76	$86.65	$190.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $109.73 / $190.51	Facility		$59.02	$109.73	$190.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $303.05 / $303.05	Professional		$303.05	$303.05	$303.05
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 $59.02 / $92.16 / $190.51	Facility		$59.02	$92.16	$190.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $188.04 / $442.12 / $442.12	Facility		$188.04	$442.12	$442.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $303.05 / $303.05	Professional		$155.83	$303.05	$303.05