Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.14 / $216.06 / $252.49	Facility		$190.14	$216.06	$252.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $74.31 / $92.55	Professional		$59.46	$74.31	$92.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $96.56 / $232.19	Facility		$61.57	$96.56	$232.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $119.31 / $279.63	Facility		$70.78	$119.31	$279.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $350.74 / $350.74	Professional		$350.74	$350.74	$350.74
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 $61.57 / $96.56 / $232.19	Facility		$61.57	$96.56	$232.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $179.38 / $279.63	Facility		$78.95	$179.38	$279.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $350.74 / $350.74	Professional		$132.71	$350.74	$350.74