Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $564.41 / $865.84	Facility		$483.00	$564.41	$865.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $340.03 / $578.27	Professional		$272.02	$340.03	$578.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $341.00	Facility		$93.60	$97.20	$341.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $341.00	Facility		$93.60	$97.20	$341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.48 / $720.48 / $720.48	Professional		$720.48	$720.48	$720.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $341.00	Facility		$93.60	$97.20	$341.00
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 $417.22 / $720.48 / $720.48	Professional		$417.22	$720.48	$720.48