Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $165.33 / $253.61	Facility		$141.47	$165.33	$253.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $102.91 / $137.16	Professional		$90.56	$102.91	$137.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $155.34 / $285.08	Facility		$65.81	$155.34	$285.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $155.34 / $281.98	Facility		$65.81	$155.34	$281.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $791.00 / $791.00	Professional		$791.00	$791.00	$791.00
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 $65.81 / $149.21 / $285.08	Facility		$65.81	$149.21	$285.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $256.83 / $256.83	Facility		$78.44	$256.83	$256.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $791.00 / $791.00	Professional		$320.52	$791.00	$791.00