Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $664.46 / $1,019.30	Facility		$568.61	$664.46	$1,019.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $346.61 / $781.65	Professional		$141.60	$346.61	$781.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $242.63 / $419.40	Facility		$86.12	$242.63	$419.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $247.80 / $499.12	Facility		$86.12	$247.80	$499.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.00 / $2,600.00 / $2,600.00	Professional		$887.00	$2,600.00	$2,600.00
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 $86.12 / $242.63 / $419.40	Facility		$86.12	$242.63	$419.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $260.54 / $260.54 / $260.54	Facility		$260.54	$260.54	$260.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $887.00 / $2,600.00	Professional		$250.28	$887.00	$2,600.00