Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $838.21 / $1,352.01	Facility		$717.29	$838.21	$1,352.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.19 / $656.70 / $1,372.12	Professional		$520.19	$656.70	$1,372.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $632.76 / $1,684.84	Facility		$409.99	$632.76	$1,684.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $536.94 / $1,684.84	Facility		$409.99	$536.94	$1,684.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $4,155.10 / $4,155.10	Professional		$648.00	$4,155.10	$4,155.10
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 $409.99 / $632.76 / $1,684.84	Facility		$409.99	$632.76	$1,684.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,995.10 / $4,995.10 / $4,995.10	Facility		$4,995.10	$4,995.10	$4,995.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,167.45 / $4,155.10 / $4,155.10	Professional		$1,167.45	$4,155.10	$4,155.10