Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $145.55	Facility		$93.72	$109.52	$145.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $65.98 / $112.20	Professional		$52.78	$65.98	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $59.40 / $130.97	Facility		$33.99	$59.40	$130.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $63.36 / $235.69	Facility		$34.19	$63.36	$235.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
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 $33.99 / $59.40 / $130.97	Facility		$33.99	$59.40	$130.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $1,791.30 / $1,791.30	Facility		$110.88	$1,791.30	$1,791.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $198.00 / $198.00	Professional		$85.65	$198.00	$198.00