Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.60 / $568.64 / $872.30	Facility		$486.60	$568.64	$872.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.03 / $367.09 / $668.93	Professional		$210.03	$367.09	$668.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $209.73 / $372.62	Facility		$114.57	$209.73	$372.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $209.73 / $372.62	Facility		$114.57	$209.73	$372.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $8,263.84 / $8,263.84	Professional		$1,122.00	$8,263.84	$8,263.84
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 $114.57 / $209.73 / $372.62	Facility		$114.57	$209.73	$372.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,050.70 / $26,050.70 / $26,050.70	Facility		$26,050.70	$26,050.70	$26,050.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $368.43 / $1,122.00 / $8,263.84	Professional		$368.43	$1,122.00	$8,263.84