Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.29 / $752.92 / $1,154.99	Facility		$644.29	$752.92	$1,154.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.86 / $453.58 / $771.39	Professional		$362.86	$453.58	$771.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $120.96 / $454.34	Facility		$116.48	$120.96	$454.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $120.96 / $454.34	Facility		$116.48	$120.96	$454.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.33 / $960.33 / $960.33	Professional		$960.33	$960.33	$960.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $120.96 / $454.34	Facility		$116.48	$120.96	$454.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $745.02 / $745.02 / $745.02	Facility		$745.02	$745.02	$745.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $960.33 / $960.33	Professional		$556.14	$960.33	$960.33