Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.10 / $1,511.10 / $2,437.35	Facility		$1,293.10	$1,511.10	$2,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $810.20 / $2,064.59	Professional		$143.27	$810.20	$2,064.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $75.52 / $682.78	Facility		$22.05	$75.52	$682.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $75.52 / $682.78	Facility		$22.05	$75.52	$682.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $4,284.00 / $4,284.00	Professional		$148.00	$4,284.00	$4,284.00
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 $18.75 / $63.00 / $682.78	Facility		$18.75	$63.00	$682.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,085.55 / $4,085.55 / $4,085.55	Facility		$4,085.55	$4,085.55	$4,085.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $1,704.35 / $4,284.00	Professional		$205.27	$1,704.35	$4,284.00