Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.27 / $152.58 / $178.30	Facility		$134.27	$152.58	$178.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $52.49 / $65.36	Professional		$41.99	$52.49	$65.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $48.15 / $156.78	Facility		$18.18	$48.15	$156.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $76.68 / $165.99	Facility		$24.61	$76.68	$165.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.87 / $233.87 / $233.87	Professional		$233.87	$233.87	$233.87
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 $18.18 / $48.15 / $156.78	Facility		$18.18	$48.15	$156.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $165.99 / $175.00	Facility		$60.00	$165.99	$175.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $233.87 / $233.87	Professional		$92.32	$233.87	$233.87