Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $38.72 / $180.27	Professional		$30.98	$38.72	$180.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $24.31	Facility		$17.54	$17.54	$24.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $100.00	Facility		$17.54	$17.54	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $55.00 / $69.46	Professional		$38.59	$55.00	$69.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $24.31	Facility		$17.54	$17.54	$24.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Facility		$60.00	$60.00	$100.00