Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.19 / $647.61 / $993.46	Facility		$554.19	$647.61	$993.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.82 / $442.72 / $884.82	Professional		$337.82	$442.72	$884.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $255.30 / $371.58 / $722.36	Facility		$255.30	$371.58	$722.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.30 / $371.58 / $722.36	Facility		$255.30	$371.58	$722.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,126.00 / $3,126.00 / $3,126.00	Professional		$3,126.00	$3,126.00	$3,126.00
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 $255.30 / $371.58 / $722.36	Facility		$255.30	$371.58	$722.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,366.50 / $6,366.50 / $6,366.50	Facility		$6,366.50	$6,366.50	$6,366.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $641.54 / $3,126.00 / $3,126.00	Professional		$641.54	$3,126.00	$3,126.00