Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.33 / $497.03 / $801.69	Facility		$425.33	$497.03	$801.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $385.57 / $769.80	Professional		$267.33	$385.57	$769.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $189.57 / $248.95 / $577.50	Facility		$189.57	$248.95	$577.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.04 / $248.95 / $577.50	Facility		$192.04	$248.95	$577.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.85 / $808.85 / $808.85	Professional		$808.85	$808.85	$808.85
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 $189.57 / $248.46 / $577.50	Facility		$189.57	$248.46	$577.50
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 $746.63 / $808.85 / $808.85	Professional		$746.63	$808.85	$808.85