Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $205.34 / $272.92	Facility		$175.72	$205.34	$272.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $123.70 / $210.38	Professional		$98.96	$123.70	$210.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $79.50 / $126.14	Facility		$32.58	$79.50	$126.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $79.50 / $135.97	Facility		$34.56	$79.50	$135.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $272.41 / $272.41	Professional		$272.41	$272.41	$272.41
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 $32.58 / $79.50 / $126.14	Facility		$32.58	$79.50	$126.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $220.40 / $332.35 / $332.35	Facility		$220.40	$332.35	$332.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $272.41 / $272.41	Professional		$152.38	$272.41	$272.41