Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.63 / $781.35 / $1,260.29	Facility		$668.63	$781.35	$1,260.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.27 / $606.12 / $1,210.15	Professional		$420.27	$606.12	$1,210.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $410.67 / $840.00	Facility		$298.42	$410.67	$840.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $401.55 / $847.44	Facility		$298.42	$401.55	$847.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,550.73 / $2,550.73 / $2,550.73	Professional		$2,550.73	$2,550.73	$2,550.73
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 $298.42 / $400.02 / $840.00	Facility		$298.42	$400.02	$840.00
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 / $2,550.73 / $2,550.73	Professional		$1,086.00	$2,550.73	$2,550.73