Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.12 / $115.83 / $153.94	Facility		$99.12	$115.83	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $69.78 / $118.68	Professional		$55.83	$69.78	$118.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.96 / $74.13 / $150.82	Facility		$37.96	$74.13	$150.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $74.13 / $297.57	Facility		$40.59	$74.13	$297.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $237.00 / $237.00	Professional		$237.00	$237.00	$237.00
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 $37.96 / $74.13 / $150.82	Facility		$37.96	$74.13	$150.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $1,791.30 / $1,791.30	Facility		$109.44	$1,791.30	$1,791.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $237.00 / $237.00	Professional		$101.82	$237.00	$237.00