Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.10 / $467.55 / $754.13	Facility		$400.10	$467.55	$754.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.14 / $366.30 / $765.35	Professional		$290.14	$366.30	$765.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $201.33 / $294.56	Facility		$115.50	$201.33	$294.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $201.33 / $294.56	Facility		$115.50	$201.33	$294.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,573.54 / $5,573.54 / $5,573.54	Professional		$5,573.54	$5,573.54	$5,573.54
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 $115.50 / $201.33 / $294.56	Facility		$115.50	$201.33	$294.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,573.54 / $5,573.54 / $5,573.54	Professional		$5,573.54	$5,573.54	$5,573.54