Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.37 / $251.67 / $386.07	Facility		$215.37	$251.67	$386.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $151.62 / $257.85	Professional		$121.29	$151.62	$257.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.10 / $239.20 / $410.41	Facility		$100.10	$239.20	$410.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.10 / $239.20 / $410.41	Facility		$100.10	$239.20	$410.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $919.93 / $919.93 / $919.93	Professional		$919.93	$919.93	$919.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.10 / $239.20 / $410.41	Facility		$100.10	$239.20	$410.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $435.24 / $435.24	Facility		$435.24	$435.24	$435.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.15 / $919.93 / $919.93	Professional		$359.15	$919.93	$919.93