Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.78 / $172.70 / $264.92	Facility		$147.78	$172.70	$264.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $84.67 / $394.19	Professional		$67.73	$84.67	$394.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $52.88	Facility		$38.15	$38.15	$52.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $204.03	Facility		$38.15	$38.15	$204.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $151.16	Professional		$55.00	$65.00	$151.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $52.88	Facility		$38.15	$38.15	$52.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $94.10 / $204.03	Facility		$60.00	$94.10	$204.03