Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $17.64 / $21.84	Professional		$14.12	$17.64	$21.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $20.44 / $58.24	Facility		$16.16	$20.44	$58.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $18.14 / $58.24	Facility		$11.04	$18.14	$58.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.57 / $249.57 / $249.57	Professional		$249.57	$249.57	$249.57
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 $16.16 / $20.44 / $58.24	Facility		$16.16	$20.44	$58.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $249.57 / $249.57	Professional		$54.42	$249.57	$249.57