Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $203.23 / $311.77	Facility		$173.92	$203.23	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $136.21 / $168.61	Professional		$108.97	$136.21	$168.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $83.88 / $417.69	Facility		$57.10	$83.88	$417.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $124.70 / $417.69	Facility		$57.10	$124.70	$417.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.24 / $416.24 / $416.24	Professional		$416.24	$416.24	$416.24
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 $57.10 / $83.88 / $417.69	Facility		$57.10	$83.88	$417.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.42 / $192.42 / $192.42	Facility		$192.42	$192.42	$192.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $416.24 / $416.24	Professional		$208.61	$416.24	$416.24