Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.60 / $472.81 / $762.63	Facility		$404.60	$472.81	$762.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $366.78 / $732.29	Professional		$254.31	$366.78	$732.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $252.55 / $924.00	Facility		$183.48	$252.55	$924.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $252.55 / $924.00	Facility		$183.48	$252.55	$924.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,869.58 / $1,869.58 / $1,869.58	Professional		$1,869.58	$1,869.58	$1,869.58
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 $183.48 / $248.33 / $924.00	Facility		$183.48	$248.33	$924.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,738.55 / $7,738.55 / $7,738.55	Facility		$7,738.55	$7,738.55	$7,738.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,869.58 / $1,869.58	Professional		$1,086.00	$1,869.58	$1,869.58