Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.53 / $494.92 / $657.80	Facility		$423.53	$494.92	$657.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.53 / $298.16 / $507.07	Professional		$238.53	$298.16	$507.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $338.88 / $744.80	Facility		$194.81	$338.88	$744.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $360.00 / $794.45	Facility		$194.81	$360.00	$794.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,521.23 / $2,521.23 / $2,521.23	Professional		$2,521.23	$2,521.23	$2,521.23
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 $194.81 / $341.57 / $744.80	Facility		$194.81	$341.57	$744.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,025.75 / $2,025.75	Facility		$714.00	$2,025.75	$2,025.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,483.97 / $2,521.23 / $2,521.23	Professional		$1,483.97	$2,521.23	$2,521.23