Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.43 / $400.15 / $645.42	Facility		$342.43	$400.15	$645.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $241.06 / $342.18	Professional		$192.85	$241.06	$342.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $253.56 / $341.02	Facility		$124.62	$253.56	$341.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.57 / $253.56 / $378.00	Facility		$140.57	$253.56	$378.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,890.00 / $1,890.00 / $1,890.00	Professional		$1,890.00	$1,890.00	$1,890.00
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 $124.62 / $253.56 / $341.02	Facility		$124.62	$253.56	$341.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $446.55 / $446.55 / $446.55	Facility		$446.55	$446.55	$446.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $1,890.00 / $1,890.00	Professional		$525.00	$1,890.00	$1,890.00