Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $190.60 / $292.38	Facility		$163.10	$190.60	$292.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $127.74 / $158.13	Professional		$102.19	$127.74	$158.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $78.61 / $389.48	Facility		$46.02	$78.61	$389.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $116.60 / $389.48	Facility		$46.02	$116.60	$389.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $318.20 / $318.20	Professional		$318.20	$318.20	$318.20
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 $46.02 / $78.61 / $389.48	Facility		$46.02	$78.61	$389.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.25 / $158.25 / $158.25	Facility		$158.25	$158.25	$158.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $318.20 / $318.20	Professional		$154.19	$318.20	$318.20