Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $207.45 / $275.70	Facility		$177.52	$207.45	$275.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $124.97 / $212.54	Professional		$99.98	$124.97	$212.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $117.99 / $279.81	Facility		$65.05	$117.99	$279.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $125.86 / $479.57	Facility		$65.06	$125.86	$479.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $385.00 / $385.00	Professional		$385.00	$385.00	$385.00
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 $65.05 / $117.99 / $279.81	Facility		$65.05	$117.99	$279.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $182.20 / $1,791.30 / $1,791.30	Facility		$182.20	$1,791.30	$1,791.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $385.00 / $385.00	Professional		$165.00	$385.00	$385.00