Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.21 / $668.67 / $1,025.76	Facility		$572.21	$668.67	$1,025.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.26 / $402.83 / $685.08	Professional		$322.26	$402.83	$685.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $118.40 / $403.45	Facility		$114.01	$118.40	$403.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $118.40 / $403.45	Facility		$114.01	$118.40	$403.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $852.67 / $852.67 / $852.67	Professional		$852.67	$852.67	$852.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $118.40 / $403.45	Facility		$114.01	$118.40	$403.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $670.71 / $670.71 / $670.71	Facility		$670.71	$670.71	$670.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $493.79 / $852.67 / $852.67	Professional		$493.79	$852.67	$852.67