Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.50 / $282.20 / $455.20	Facility		$241.50	$282.20	$455.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $218.92 / $437.09	Professional		$151.80	$218.92	$437.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $197.62 / $488.19	Facility		$125.58	$197.62	$488.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.09 / $191.10 / $488.19	Facility		$109.09	$191.10	$488.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,048.00 / $1,048.00 / $1,048.00	Professional		$1,048.00	$1,048.00	$1,048.00
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 $108.95 / $191.77 / $488.19	Facility		$108.95	$191.77	$488.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $1,048.00 / $1,048.00	Professional		$325.80	$1,048.00	$1,048.00