Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $101.09 / $155.08	Facility		$86.51	$101.09	$155.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $49.56 / $230.75	Professional		$39.65	$49.56	$230.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $22.45 / $31.12	Facility		$22.45	$22.45	$31.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $22.45 / $120.30	Facility		$22.45	$22.45	$120.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $55.00 / $88.97	Professional		$49.42	$55.00	$88.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $22.45 / $31.12	Facility		$22.45	$22.45	$31.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $120.30	Facility		$60.00	$60.00	$120.30