Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $76.87 / $117.92	Facility		$65.78	$76.87	$117.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $51.52 / $63.77	Professional		$41.22	$51.52	$63.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $52.07 / $220.22	Facility		$47.33	$52.07	$220.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $51.48 / $220.22	Facility		$31.64	$51.48	$220.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $258.29 / $258.29	Professional		$258.29	$258.29	$258.29
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 $47.33 / $52.07 / $220.22	Facility		$47.33	$52.07	$220.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.78 / $255.78 / $255.78	Facility		$255.78	$255.78	$255.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $258.29 / $258.29	Professional		$154.19	$258.29	$258.29