Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.30 / $561.27 / $860.99	Facility		$480.30	$561.27	$860.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $338.12 / $575.04	Professional		$270.50	$338.12	$575.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $339.06	Facility		$93.60	$97.20	$339.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $339.06	Facility		$93.60	$97.20	$339.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.38 / $716.38 / $716.38	Professional		$716.38	$716.38	$716.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $97.20 / $339.06	Facility		$93.60	$97.20	$339.06
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 $414.85 / $716.38 / $716.38	Professional		$414.85	$716.38	$716.38