Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $720.27 / $1,104.92	Facility		$616.37	$720.27	$1,104.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $413.82 / $847.31	Professional		$171.64	$413.82	$847.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $263.27 / $457.41	Facility		$111.18	$263.27	$457.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $267.35 / $592.55	Facility		$111.18	$267.35	$592.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $3,046.00 / $3,046.00	Professional		$1,021.00	$3,046.00	$3,046.00
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 $111.18 / $263.27 / $457.41	Facility		$111.18	$263.27	$457.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,020.79 / $3,020.79 / $3,020.79	Facility		$3,020.79	$3,020.79	$3,020.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $304.19 / $1,021.00 / $3,046.00	Professional		$304.19	$1,021.00	$3,046.00