Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.52 / $580.22 / $890.07	Facility		$496.52	$580.22	$890.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $374.57 / $682.55	Professional		$203.34	$374.57	$682.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.24 / $249.60 / $371.31	Facility		$177.24	$249.60	$371.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.24 / $249.60 / $371.31	Facility		$177.24	$249.60	$371.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $1,306.17 / $1,306.17	Professional		$1,286.00	$1,306.17	$1,306.17
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 $177.24 / $249.60 / $371.31	Facility		$177.24	$249.60	$371.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $1,286.00 / $1,306.17	Professional		$357.01	$1,286.00	$1,306.17