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 $44.36 / $78.97 / $183.57	Facility		$44.36	$78.97	$183.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $78.97 / $232.96	Facility		$47.57	$78.97	$232.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $264.00 / $264.00	Professional		$264.00	$264.00	$264.00
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 $47.57 / $78.97 / $183.57	Facility		$47.57	$78.97	$183.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $268.57 / $268.57	Facility		$123.48	$268.57	$268.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $264.00 / $264.00	Professional		$122.52	$264.00	$264.00