Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $499.14 / $765.69	Facility		$427.13	$499.14	$765.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $317.85 / $587.16	Professional		$150.18	$317.85	$587.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $193.26 / $357.28	Facility		$105.61	$193.26	$357.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $193.26 / $382.52	Facility		$105.61	$193.26	$382.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,149.42 / $1,149.42	Professional		$1,021.00	$1,149.42	$1,149.42
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 $105.61 / $193.26 / $357.28	Facility		$105.61	$193.26	$357.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,675.15 / $2,675.15 / $2,675.15	Facility		$2,675.15	$2,675.15	$2,675.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $1,021.00 / $1,149.42	Professional		$268.35	$1,021.00	$1,149.42