Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $180.92	Facility		$100.93	$117.94	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $76.90 / $145.60	Professional		$42.49	$76.90	$145.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $77.56 / $108.64	Facility		$32.32	$77.56	$108.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $77.56 / $108.64	Facility		$30.76	$77.56	$108.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $371.24 / $371.24	Professional		$301.00	$371.24	$371.24
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 $32.32 / $77.56 / $108.64	Facility		$32.32	$77.56	$108.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $658.49 / $658.49 / $658.49	Facility		$658.49	$658.49	$658.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $301.00 / $371.24	Professional		$55.34	$301.00	$371.24