Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.47 / $243.71 / $284.80	Facility		$214.47	$243.71	$284.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $83.84 / $104.39	Professional		$67.06	$83.84	$104.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.19 / $99.55 / $232.19	Facility		$56.19	$99.55	$232.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $116.84 / $293.31	Facility		$66.38	$116.84	$293.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.55 / $803.55 / $803.55	Professional		$803.55	$803.55	$803.55
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 $56.19 / $99.55 / $232.19	Facility		$56.19	$99.55	$232.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $84.90 / $198.53 / $293.31	Facility		$84.90	$198.53	$293.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $803.55 / $803.55	Professional		$149.33	$803.55	$803.55