Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $243.25 / $323.30	Facility		$208.16	$243.25	$323.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $146.54 / $249.22	Professional		$117.23	$146.54	$249.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $136.50 / $319.50	Facility		$78.51	$136.50	$319.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $154.15 / $319.50	Facility		$87.50	$154.15	$319.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.01 / $361.01 / $361.01	Professional		$361.01	$361.01	$361.01
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 $78.51 / $136.50 / $319.50	Facility		$78.51	$136.50	$319.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $292.80 / $292.80	Facility		$60.00	$292.80	$292.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $361.01 / $361.01	Professional		$208.77	$361.01	$361.01