Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $100.68 / $100.68	Professional		$100.68	$100.68	$100.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $15.93	Facility		$15.93	$15.93	$15.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $15.93	Facility		$15.93	$15.93	$15.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $372.00 / $372.00	Professional		$372.00	$372.00	$372.00
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 $15.93 / $15.93 / $15.93	Facility		$15.93	$15.93	$15.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $372.00 / $372.00	Professional		$372.00	$372.00	$372.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $64.58 / $64.58	Professional		$64.58	$64.58	$64.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $64.58 / $64.58	Professional		$64.58	$64.58	$64.58