Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $508.61 / $780.23	Facility		$435.24	$508.61	$780.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $306.39 / $521.09	Professional		$245.12	$306.39	$521.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $306.86	Facility		$93.60	$97.20	$306.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $306.86	Facility		$93.60	$97.20	$306.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.24 / $648.24 / $648.24	Professional		$648.24	$648.24	$648.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $306.86	Facility		$93.60	$97.20	$306.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $627.45 / $627.45 / $627.45	Facility		$627.45	$627.45	$627.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.38 / $648.24 / $648.24	Professional		$375.38	$648.24	$648.24