Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.68 / $173.75 / $266.54	Facility		$148.68	$173.75	$266.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $104.67 / $178.01	Professional		$83.74	$104.67	$178.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $198.90 / $222.04	Facility		$69.34	$198.90	$222.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $198.90 / $222.04	Facility		$69.34	$198.90	$222.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $603.00 / $603.00	Professional		$603.00	$603.00	$603.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $198.90 / $222.04	Facility		$69.34	$198.90	$222.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $315.00 / $315.00	Facility		$315.00	$315.00	$315.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $603.00 / $603.00	Professional		$270.97	$603.00	$603.00