Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.34 / $880.33 / $1,419.95	Facility		$753.34	$880.33	$1,419.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.33 / $689.70 / $1,441.07	Professional		$546.33	$689.70	$1,441.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $430.07 / $668.47 / $882.00	Facility		$430.07	$668.47	$882.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.07 / $456.30 / $882.00	Facility		$430.07	$456.30	$882.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.00 / $2,580.30 / $2,580.30	Professional		$649.00	$2,580.30	$2,580.30
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 $430.07 / $668.47 / $882.00	Facility		$430.07	$668.47	$882.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,311.95 / $13,311.95 / $13,311.95	Facility		$13,311.95	$13,311.95	$13,311.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,140.30 / $2,580.30 / $2,580.30	Professional		$1,140.30	$2,580.30	$2,580.30