Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $109.17	Facility		$70.29	$82.14	$109.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $49.48 / $84.15	Professional		$39.59	$49.48	$84.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $45.50 / $61.64	Facility		$25.67	$45.50	$61.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $51.88 / $232.00	Facility		$27.78	$51.88	$232.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $128.36 / $128.36	Professional		$128.36	$128.36	$128.36
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 $25.67 / $45.50 / $61.64	Facility		$25.67	$45.50	$61.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $232.00 / $232.00	Facility		$73.00	$232.00	$232.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $128.36 / $128.36	Professional		$77.50	$128.36	$128.36