Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.62 / $110.57 / $146.94	Facility		$94.62	$110.57	$146.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $132.33 / $150.38	Professional		$66.61	$132.33	$150.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $62.24 / $173.64	Facility		$36.59	$62.24	$173.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $68.01 / $273.00	Facility		$38.92	$68.01	$273.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $196.00	Professional		$196.00	$196.00	$196.00
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 $38.92 / $66.38 / $173.64	Facility		$38.92	$66.38	$173.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $1,974.91 / $1,974.91	Facility		$108.04	$1,974.91	$1,974.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $196.00 / $196.00	Professional		$102.50	$196.00	$196.00