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 $79.38 / $171.28 / $381.92	Facility		$79.38	$171.28	$381.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.38 / $171.28 / $423.00	Facility		$79.38	$171.28	$423.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,381.00 / $1,381.00	Professional		$1,381.00	$1,381.00	$1,381.00
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 $79.38 / $171.28 / $381.92	Facility		$79.38	$171.28	$381.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $972.00 / $972.00	Facility		$240.00	$972.00	$972.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $1,381.00 / $1,381.00	Professional		$587.50	$1,381.00	$1,381.00