Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $124.56	Facility		$80.20	$93.72	$124.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $56.46 / $96.02	Professional		$45.17	$56.46	$96.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $60.13 / $150.82	Facility		$29.59	$60.13	$150.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $60.13 / $168.35	Facility		$31.37	$60.13	$168.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $197.00 / $197.00	Professional		$197.00	$197.00	$197.00
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 $29.59 / $60.13 / $150.82	Facility		$29.59	$60.13	$150.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $105.28 / $243.60 / $243.60	Facility		$105.28	$243.60	$243.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $197.00 / $197.00	Professional		$87.50	$197.00	$197.00