Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $153.46	Facility		$85.61	$100.04	$153.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $60.27 / $102.49	Professional		$48.21	$60.27	$102.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $120.67	Facility		$74.95	$74.95	$120.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $120.67	Facility		$74.95	$74.95	$120.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,261.94 / $1,261.94 / $1,261.94	Professional		$1,261.94	$1,261.94	$1,261.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $120.67	Facility		$74.95	$74.95	$120.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $627.09 / $627.09 / $627.09	Facility		$627.09	$627.09	$627.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.93 / $1,261.94 / $1,261.94	Professional		$478.93	$1,261.94	$1,261.94