Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.57 / $1,005.64 / $1,542.68	Facility		$860.57	$1,005.64	$1,542.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.66 / $605.83 / $955.00	Professional		$484.66	$605.83	$955.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $452.68 / $801.40	Facility		$313.24	$452.68	$801.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $576.14 / $685.23	Facility		$313.24	$576.14	$685.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,611.85 / $1,611.85 / $1,611.85	Professional		$1,611.85	$1,611.85	$1,611.85
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 $313.24 / $452.68 / $801.40	Facility		$313.24	$452.68	$801.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,062.18 / $1,062.18 / $1,062.18	Facility		$1,062.18	$1,062.18	$1,062.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $705.99 / $705.99 / $1,611.85	Professional		$705.99	$705.99	$1,611.85