Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $47.87 / $67.94	Facility		$42.12	$47.87	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.51 / $20.98	Professional		$17.02	$17.51	$20.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $25.10 / $142.50	Facility		$8.64	$25.10	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $45.10 / $142.50	Facility		$8.64	$45.10	$142.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $106.00 / $106.00	Professional		$23.00	$106.00	$106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $65.00 / $70.00	Professional		$58.40	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $25.10 / $142.50	Facility		$8.64	$25.10	$142.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $90.00	Facility		$60.00	$60.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $106.00 / $178.79	Professional		$26.23	$106.00	$178.79