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 $33.58 / $72.86 / $126.02	Facility		$33.58	$72.86	$126.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $76.25 / $238.42	Facility		$36.14	$76.25	$238.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $201.00 / $201.00	Professional		$201.00	$201.00	$201.00
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 $33.58 / $72.86 / $126.02	Facility		$33.58	$72.86	$126.02
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 $86.16 / $201.00 / $201.00	Professional		$86.16	$201.00	$201.00