Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.31 / $294.85 / $452.31	Facility		$252.31	$294.85	$452.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $177.63 / $252.13	Professional		$142.10	$177.63	$252.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $126.00 / $295.69	Facility		$77.65	$126.00	$295.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $124.02 / $348.00	Facility		$71.02	$124.02	$348.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.69 / $405.69 / $405.69	Professional		$405.69	$405.69	$405.69
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 $75.75 / $124.02 / $295.69	Facility		$75.75	$124.02	$295.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.84 / $348.00 / $348.00	Facility		$194.84	$348.00	$348.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $405.69 / $405.69	Professional		$220.43	$405.69	$405.69