Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $342.23 / $454.86	Facility		$292.86	$342.23	$454.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $206.17 / $350.63	Professional		$164.94	$206.17	$350.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.40 / $215.23 / $294.70	Facility		$108.40	$215.23	$294.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $215.23 / $294.70	Facility		$119.00	$215.23	$294.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $511.57 / $511.57	Professional		$511.57	$511.57	$511.57
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 $108.40 / $215.23 / $294.70	Facility		$108.40	$215.23	$294.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $384.75 / $384.75	Facility		$60.00	$384.75	$384.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $511.57 / $511.57	Professional		$285.23	$511.57	$511.57