Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.98 / $639.19 / $1,030.99	Facility		$546.98	$639.19	$1,030.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.67 / $500.78 / $1,046.33	Professional		$396.67	$500.78	$1,046.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.52 / $329.70 / $443.16	Facility		$304.52	$329.70	$443.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.66 / $329.70 / $443.16	Facility		$274.66	$329.70	$443.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $1,496.00 / $1,496.00	Professional		$329.00	$1,496.00	$1,496.00
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 $281.25 / $329.70 / $443.16	Facility		$281.25	$329.70	$443.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,607.65 / $6,607.65 / $6,607.65	Facility		$6,607.65	$6,607.65	$6,607.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $671.79 / $1,496.00 / $1,496.00	Professional		$671.79	$1,496.00	$1,496.00