Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $601.28 / $922.38	Facility		$514.54	$601.28	$922.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $362.23 / $514.16	Professional		$289.77	$362.23	$514.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $317.16 / $380.59	Facility		$169.31	$317.16	$380.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $317.16 / $401.37	Facility		$169.31	$317.16	$401.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,842.00 / $1,842.00 / $1,842.00	Professional		$1,842.00	$1,842.00	$1,842.00
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 $188.12 / $317.16 / $375.53	Facility		$188.12	$317.16	$375.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $970.20 / $970.20	Facility		$60.00	$970.20	$970.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.92 / $1,842.00 / $1,842.00	Professional		$512.92	$1,842.00	$1,842.00