Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.62 / $866.64 / $1,397.87	Facility		$741.62	$866.64	$1,397.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $452.07 / $1,184.08	Professional		$131.97	$452.07	$1,184.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $394.38 / $750.14	Facility		$94.60	$394.38	$750.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $360.35 / $750.14	Facility		$94.60	$360.35	$750.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,368.00 / $1,368.00 / $1,368.00	Professional		$1,368.00	$1,368.00	$1,368.00
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 $94.60 / $394.38 / $750.14	Facility		$94.60	$394.38	$750.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $189.59 / $189.59 / $189.59	Facility		$189.59	$189.59	$189.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $790.45 / $1,368.00	Professional		$189.59	$790.45	$1,368.00