Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.55 / $420.16 / $644.53	Facility		$359.55	$420.16	$644.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $253.84 / $494.26	Professional		$111.58	$253.84	$494.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $126.00 / $272.37	Facility		$54.31	$126.00	$272.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $126.00 / $272.37	Facility		$54.31	$126.00	$272.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,367.00 / $1,367.00	Professional		$1,367.00	$1,367.00	$1,367.00
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 $54.31 / $126.00 / $272.37	Facility		$54.31	$126.00	$272.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $397.65 / $1,367.00	Professional		$198.39	$397.65	$1,367.00