Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $93.77	Facility		$60.38	$70.55	$93.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $107.05 / $121.65	Professional		$42.50	$107.05	$121.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $43.29 / $114.11	Facility		$27.49	$43.29	$114.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $44.93 / $217.49	Facility		$27.49	$44.93	$217.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
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 $27.49 / $44.93 / $114.11	Facility		$27.49	$44.93	$114.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $1,974.91 / $1,974.91	Facility		$60.32	$1,974.91	$1,974.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $176.00 / $176.00	Professional		$77.44	$176.00	$176.00