Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $326.44 / $500.77	Facility		$279.35	$326.44	$500.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $226.56 / $458.13	Professional		$170.28	$226.56	$458.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $151.97 / $305.61	Facility		$100.94	$151.97	$305.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $156.77 / $285.64	Facility		$100.94	$156.77	$285.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.52 / $478.52 / $492.17	Professional		$478.52	$478.52	$492.17
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 $100.94 / $151.97 / $305.61	Facility		$100.94	$151.97	$305.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.11 / $478.52 / $492.17	Professional		$306.11	$478.52	$492.17