Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $139.96	Facility		$90.11	$105.30	$139.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $63.44 / $107.89	Professional		$50.75	$63.44	$107.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $59.66 / $107.58	Facility		$32.84	$59.66	$107.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $66.80 / $358.28	Facility		$33.60	$66.80	$358.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $246.00 / $246.00	Professional		$246.00	$246.00	$246.00
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 $32.84 / $59.66 / $107.58	Facility		$32.84	$59.66	$107.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $358.28 / $358.28	Facility		$60.00	$358.28	$358.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $246.00 / $246.00	Professional		$95.00	$246.00	$246.00