Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.51 / $952.99 / $1,537.14	Facility		$815.51	$952.99	$1,537.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.41 / $746.63 / $1,560.01	Professional		$591.41	$746.63	$1,560.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.68 / $735.00 / $1,679.90	Facility		$467.68	$735.00	$1,679.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.68 / $730.02 / $1,679.90	Facility		$467.68	$730.02	$1,679.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $5,454.00 / $5,454.00	Professional		$744.00	$5,454.00	$5,454.00
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 $467.68 / $735.00 / $1,679.90	Facility		$467.68	$735.00	$1,679.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $1,458.00 / $1,458.00	Facility		$1,458.00	$1,458.00	$1,458.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,127.88 / $5,454.00 / $5,454.00	Professional		$1,127.88	$5,454.00	$5,454.00