Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.09 / $552.84 / $848.07	Facility		$473.09	$552.84	$848.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $370.52 / $755.34	Professional		$267.62	$370.52	$755.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $241.00 / $389.15	Facility		$180.18	$241.00	$389.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $258.22 / $458.32	Facility		$180.18	$258.22	$458.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,184.94 / $1,314.24 / $1,314.24	Professional		$1,184.94	$1,314.24	$1,314.24
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 $180.18 / $241.00 / $389.15	Facility		$180.18	$241.00	$389.15
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 $472.24 / $1,184.94 / $1,314.24	Professional		$472.24	$1,184.94	$1,314.24