Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.30 / $848.74 / $1,301.99	Facility		$726.30	$848.74	$1,301.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.54 / $553.41 / $1,097.17	Professional		$277.54	$553.41	$1,097.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.44 / $338.71 / $541.61	Facility		$232.44	$338.71	$541.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.44 / $338.71 / $561.97	Facility		$232.44	$338.71	$561.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $1,633.00 / $1,633.00	Professional		$1,608.00	$1,633.00	$1,633.00
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 $232.44 / $338.71 / $541.61	Facility		$232.44	$338.71	$541.61
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 $492.85 / $1,608.00 / $1,633.00	Professional		$492.85	$1,608.00	$1,633.00