Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $125.31 / $166.55	Facility		$107.23	$125.31	$166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $75.48 / $128.38	Professional		$60.39	$75.48	$128.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $70.25 / $80.31	Facility		$38.72	$70.25	$80.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $70.72 / $243.60	Facility		$39.29	$70.72	$243.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
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 $38.72 / $70.25 / $80.31	Facility		$38.72	$70.25	$80.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $243.60 / $243.60	Facility		$124.12	$243.60	$243.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $240.00 / $240.00	Professional		$103.73	$240.00	$240.00