Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $36.70 / $45.43	Professional		$29.36	$36.70	$45.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $22.64 / $128.31	Facility		$20.44	$22.64	$128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $33.47 / $128.31	Facility		$20.44	$33.47	$128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00
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 $20.44 / $33.47 / $128.31	Facility		$20.44	$33.47	$128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Facility		$320.00	$320.00	$320.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $320.00 / $320.00	Professional		$54.42	$320.00	$320.00