Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $176.64	Facility		$93.72	$109.52	$176.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $84.96 / $169.62	Professional		$58.91	$84.96	$169.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $100.56 / $261.63	Facility		$48.50	$100.56	$261.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $100.56 / $283.50	Facility		$42.30	$100.56	$283.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,570.89 / $1,570.89 / $1,570.89	Professional		$1,570.89	$1,570.89	$1,570.89
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 $48.50 / $105.19 / $261.63	Facility		$48.50	$105.19	$261.63
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 $366.53 / $1,570.89 / $1,570.89	Professional		$366.53	$1,570.89	$1,570.89