Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.29 / $273.79 / $363.89	Facility		$234.29	$273.79	$363.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $164.94 / $280.50	Professional		$131.94	$164.94	$280.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.03 / $171.28 / $314.55	Facility		$107.03	$171.28	$314.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.03 / $176.47 / $1,024.71	Facility		$107.03	$176.47	$1,024.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,138.00 / $1,138.00 / $1,138.00	Professional		$1,138.00	$1,138.00	$1,138.00
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 $107.03 / $171.28 / $314.55	Facility		$107.03	$171.28	$314.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $1,024.71 / $1,024.71	Facility		$240.00	$1,024.71	$1,024.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $1,138.00 / $1,138.00	Professional		$487.50	$1,138.00	$1,138.00