Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $75.78 / $88.55	Facility		$66.68	$75.78	$88.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $21.14 / $29.19	Professional		$16.91	$21.14	$29.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $28.34 / $66.73	Facility		$20.58	$28.34	$66.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $51.47 / $99.16	Facility		$25.20	$51.47	$99.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $125.69 / $125.69	Professional		$106.16	$125.69	$125.69
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 $20.58 / $28.34 / $66.73	Facility		$20.58	$28.34	$66.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $90.00 / $99.16	Facility		$55.00	$90.00	$99.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $72.45 / $125.69	Professional		$46.52	$72.45	$125.69