Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.36 / $997.22 / $1,608.48	Facility		$853.36	$997.22	$1,608.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.36 / $650.23 / $1,355.79	Professional		$329.36	$650.23	$1,355.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $236.28 / $370.34 / $716.82	Facility		$236.28	$370.34	$716.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.28 / $365.54 / $716.82	Facility		$236.28	$365.54	$716.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,460.17 / $1,460.17	Professional		$1,350.00	$1,460.17	$1,460.17
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 $236.19 / $370.34 / $700.00	Facility		$236.19	$370.34	$700.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $510.50 / $2,543.25	Facility		$510.50	$510.50	$2,543.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $1,460.17 / $1,460.17	Professional		$510.50	$1,460.17	$1,460.17