Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Professional		$64.31	$64.31	$64.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $56.00	Professional		$55.00	$55.00	$56.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,250.00	Professional		$50.00	$65.00	$1,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00