Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.22 / $32.19	Facility		$20.73	$24.22	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $14.59 / $24.81	Professional		$11.67	$14.59	$24.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.16 / $58.54	Facility		$9.55	$15.16	$58.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.00 / $58.54	Facility		$9.55	$21.00	$58.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $69.15 / $69.15	Professional		$69.15	$69.15	$69.15
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 $9.55 / $15.16 / $58.54	Facility		$9.55	$15.16	$58.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $128.99 / $128.99	Facility		$60.00	$128.99	$128.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $69.15 / $69.15	Professional		$26.46	$69.15	$69.15