Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $76.87 / $102.17	Facility		$65.78	$76.87	$102.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $46.31 / $78.76	Professional		$37.04	$46.31	$78.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $43.20 / $109.15	Facility		$25.90	$43.20	$109.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $46.08 / $199.29	Facility		$27.62	$46.08	$199.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
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 $25.90 / $43.20 / $109.15	Facility		$25.90	$43.20	$109.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.16 / $1,791.30 / $1,791.30	Facility		$70.16	$1,791.30	$1,791.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $163.00 / $163.00	Professional		$69.47	$163.00	$163.00