Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.98 / $266.42 / $354.09	Facility		$227.98	$266.42	$354.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $160.50 / $272.95	Professional		$128.40	$160.50	$272.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $167.63 / $250.05	Facility		$84.73	$167.63	$250.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $167.63 / $250.05	Facility		$91.00	$167.63	$250.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.65 / $396.65 / $396.65	Professional		$396.65	$396.65	$396.65
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 $84.73 / $167.63 / $250.05	Facility		$84.73	$167.63	$250.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $303.87 / $303.87	Facility		$60.00	$303.87	$303.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.44 / $396.65 / $396.65	Professional		$225.44	$396.65	$396.65