Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $140.29 / $163.94	Facility		$123.45	$140.29	$163.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $105.22 / $119.56	Professional		$38.61	$105.22	$119.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $56.26 / $89.84	Facility		$40.39	$56.26	$89.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $89.84 / $118.62	Facility		$45.00	$89.84	$118.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $217.25 / $217.25	Professional		$217.25	$217.25	$217.25
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 $40.39 / $56.26 / $89.84	Facility		$40.39	$56.26	$89.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $103.12 / $118.62	Facility		$60.00	$103.12	$118.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $103.07 / $217.25	Professional		$84.38	$103.07	$217.25