Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.95 / $426.48 / $654.23	Facility		$364.95	$426.48	$654.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $256.92 / $436.94	Professional		$205.54	$256.92	$436.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $167.26 / $345.80	Facility		$166.40	$167.26	$345.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $167.26 / $345.80	Facility		$166.40	$167.26	$345.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $775.00 / $775.00	Professional		$775.00	$775.00	$775.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $167.26 / $345.80	Facility		$166.40	$167.26	$345.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $499.65 / $499.65 / $499.65	Facility		$499.65	$499.65	$499.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.22 / $775.00 / $775.00	Professional		$347.22	$775.00	$775.00