Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $204.34	Facility		$131.56	$153.74	$204.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $92.62 / $157.51	Professional		$74.09	$92.62	$157.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $93.60 / $208.37	Facility		$50.23	$93.60	$208.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.79 / $97.20 / $338.91	Facility		$53.79	$97.20	$338.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.91 / $309.91 / $309.91	Professional		$309.91	$309.91	$309.91
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 $50.23 / $93.60 / $208.37	Facility		$50.23	$93.60	$208.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $338.91 / $338.91	Facility		$69.00	$338.91	$338.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $309.91 / $309.91	Professional		$134.18	$309.91	$309.91