Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $124.38	Facility		$69.39	$81.08	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $54.34 / $67.27	Professional		$43.47	$54.34	$67.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $55.21 / $169.26	Facility		$49.64	$55.21	$169.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $55.21 / $169.26	Facility		$33.54	$55.21	$169.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.72 / $358.72 / $358.72	Professional		$358.72	$358.72	$358.72
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 $49.64 / $55.21 / $169.26	Facility		$49.64	$55.21	$169.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.83 / $211.83 / $211.83	Facility		$211.83	$211.83	$211.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $358.72 / $358.72	Professional		$208.61	$358.72	$358.72