Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $104.97	Facility		$67.58	$78.98	$104.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $47.58 / $80.91	Professional		$38.06	$47.58	$80.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $49.92 / $122.05	Facility		$30.00	$49.92	$122.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $50.76 / $222.95	Facility		$31.13	$50.76	$222.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $185.00 / $185.00	Professional		$185.00	$185.00	$185.00
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 $30.00 / $49.92 / $122.05	Facility		$30.00	$49.92	$122.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $243.60 / $243.60	Facility		$75.76	$243.60	$243.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $185.00 / $185.00	Professional		$80.88	$185.00	$185.00