Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $240.60 / $341.01	Facility		$131.52	$240.60	$341.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $103.13 / $125.16	Professional		$100.13	$103.13	$125.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $95.49 / $146.84	Facility		$95.49	$95.49	$146.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $95.49 / $146.84	Facility		$95.49	$95.49	$146.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $95.49 / $146.84	Facility		$95.49	$95.49	$146.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $286.44 / $286.44 / $286.44	Facility		$286.44	$286.44	$286.44