Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $275.89 / $366.69	Facility		$236.09	$275.89	$366.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $166.21 / $282.66	Professional		$132.97	$166.21	$282.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $172.57 / $551.69	Facility		$107.86	$172.57	$551.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $190.99 / $551.69	Facility		$107.86	$190.99	$551.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $693.00 / $693.00	Professional		$693.00	$693.00	$693.00
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 $107.86 / $172.57 / $551.69	Facility		$107.86	$172.57	$551.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $538.66 / $538.66	Facility		$195.00	$538.66	$538.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $387.30 / $693.00 / $693.00	Professional		$387.30	$693.00	$693.00