Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $96.88 / $128.76	Facility		$82.90	$96.88	$128.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $58.36 / $99.26	Professional		$46.69	$58.36	$99.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $54.41 / $150.82	Facility		$29.92	$54.41	$150.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $59.94 / $222.04	Facility		$30.23	$59.94	$222.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
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 $30.23 / $58.03 / $150.82	Facility		$30.23	$58.03	$150.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $268.57 / $268.57	Facility		$108.04	$268.57	$268.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $175.00 / $175.00	Professional		$87.50	$175.00	$175.00