Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.14 / $786.61 / $1,206.69	Facility		$673.14	$786.61	$1,206.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.33 / $537.74 / $1,074.74	Professional		$410.33	$537.74	$1,074.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.52 / $369.40 / $1,100.00	Facility		$295.52	$369.40	$1,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.52 / $438.12 / $1,100.00	Facility		$295.52	$438.12	$1,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,635.00 / $3,635.00 / $3,635.00	Professional		$3,635.00	$3,635.00	$3,635.00
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 $295.52 / $369.40 / $1,100.00	Facility		$295.52	$369.40	$1,100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,473.90 / $6,473.90 / $6,473.90	Facility		$6,473.90	$6,473.90	$6,473.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,493.25 / $3,635.00 / $3,635.00	Professional		$1,493.25	$3,635.00	$3,635.00