Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $275.89 / $423.23	Facility		$236.09	$275.89	$423.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $121.03 / $142.72	Professional		$114.18	$121.03	$142.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $180.00	Facility		$44.79	$44.79	$180.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $180.00	Facility		$44.79	$44.79	$180.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.49 / $401.49 / $401.49	Professional		$401.49	$401.49	$401.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $180.00	Facility		$44.79	$44.79	$180.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $122.31 / $290.49	Facility		$60.00	$122.31	$290.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $401.49 / $401.49	Professional		$162.68	$401.49	$401.49