Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $120.83 / $141.19	Facility		$106.33	$120.83	$141.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $41.57 / $51.76	Professional		$33.25	$41.57	$51.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $45.16 / $156.78	Facility		$23.22	$45.16	$156.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $74.79 / $180.00	Facility		$24.61	$74.79	$180.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $192.26 / $192.26	Professional		$192.26	$192.26	$192.26
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 $23.22 / $45.16 / $156.78	Facility		$23.22	$45.16	$156.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $175.00 / $180.00	Facility		$60.00	$175.00	$180.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $192.26 / $192.26	Professional		$73.87	$192.26	$192.26