Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.67 / $440.17 / $675.23	Facility		$376.67	$440.17	$675.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.14 / $265.17 / $418.00	Professional		$212.14	$265.17	$418.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $299.76 / $387.48	Facility		$141.13	$299.76	$387.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $299.76 / $387.48	Facility		$141.13	$299.76	$387.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,577.03 / $1,577.03 / $1,577.03	Professional		$1,577.03	$1,577.03	$1,577.03
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 $141.13 / $299.76 / $387.48	Facility		$141.13	$299.76	$387.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,022.73 / $1,022.73 / $1,022.73	Facility		$1,022.73	$1,022.73	$1,022.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $688.14 / $688.14 / $1,577.03	Professional		$688.14	$688.14	$1,577.03