Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.25 / $327.49 / $502.38	Facility		$280.25	$327.49	$502.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $197.29 / $280.05	Professional		$157.83	$197.29	$280.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $166.71 / $253.78	Facility		$105.64	$166.71	$253.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.08 / $165.55 / $306.81	Facility		$95.08	$165.55	$306.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $921.00 / $921.00 / $921.00	Professional		$921.00	$921.00	$921.00
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 $112.03 / $171.86 / $253.78	Facility		$112.03	$171.86	$253.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $625.83 / $625.83	Facility		$60.00	$625.83	$625.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $921.00 / $921.00	Professional		$398.71	$921.00	$921.00