Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $50.08	Facility		$27.93	$32.64	$50.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $23.86 / $36.33	Professional		$17.55	$23.86	$36.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $14.70 / $113.60	Facility		$10.03	$14.70	$113.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $14.83 / $113.60	Facility		$10.03	$14.83	$113.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $280.00	Professional		$280.00	$280.00	$280.00
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 $10.03 / $14.70 / $113.60	Facility		$10.03	$14.70	$113.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $127.20 / $280.00	Professional		$18.93	$127.20	$280.00