Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $245.36 / $326.10	Facility		$209.96	$245.36	$326.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $147.81 / $251.38	Professional		$118.25	$147.81	$251.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $129.60 / $298.67	Facility		$76.75	$129.60	$298.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $142.63 / $298.67	Facility		$81.37	$142.63	$298.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.15 / $418.15 / $418.15	Professional		$418.15	$418.15	$418.15
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 $81.37 / $129.60 / $298.67	Facility		$81.37	$129.60	$298.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.76 / $359.47 / $359.47	Facility		$238.76	$359.47	$359.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.71 / $418.15 / $418.15	Professional		$211.71	$418.15	$418.15