Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,056.46	Facility		$589.33	$688.68	$1,056.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $370.43 / $810.14	Professional		$156.33	$370.43	$810.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $110.71 / $213.39 / $438.52	Facility		$110.71	$213.39	$438.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.71 / $213.39 / $438.52	Facility		$110.71	$213.39	$438.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $1,587.96 / $1,587.96	Professional		$1,182.00	$1,587.96	$1,587.96
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 $110.71 / $213.39 / $438.52	Facility		$110.71	$213.39	$438.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $278.76 / $278.76 / $278.76	Facility		$278.76	$278.76	$278.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.76 / $1,182.00 / $1,587.96	Professional		$278.76	$1,182.00	$1,587.96