Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.57 / $537.04 / $823.84	Facility		$459.57	$537.04	$823.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $344.85 / $457.07	Professional		$257.36	$344.85	$457.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $214.67 / $353.47	Facility		$167.95	$214.67	$353.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $214.67 / $353.47	Facility		$167.95	$214.67	$353.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $702.03 / $702.03 / $826.04	Professional		$702.03	$702.03	$826.04
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 $167.95 / $214.67 / $353.47	Facility		$167.95	$214.67	$353.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $299.75 / $338.98	Facility		$60.00	$299.75	$338.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.26 / $363.15 / $826.04	Professional		$267.26	$363.15	$826.04