Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.14 / $1,074.08 / $1,732.47	Facility		$919.14	$1,074.08	$1,732.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.14 / $841.50 / $1,467.51	Professional		$490.14	$841.50	$1,467.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $204.10 / $528.73	Facility		$57.70	$204.10	$528.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $315.86 / $574.82	Facility		$57.70	$315.86	$574.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.00 / $2,352.54 / $2,352.54	Professional		$709.00	$2,352.54	$2,352.54
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 $57.70 / $150.00 / $528.73	Facility		$57.70	$150.00	$528.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,930.50 / $3,930.50 / $3,930.50	Facility		$3,930.50	$3,930.50	$3,930.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $721.44 / $1,248.83 / $2,352.54	Professional		$721.44	$1,248.83	$2,352.54