Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.30 / $1,029.85 / $1,661.13	Facility		$881.30	$1,029.85	$1,661.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $620.41 / $1,055.13	Professional		$496.34	$620.41	$1,055.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $253.81 / $432.00 / $1,083.29	Facility		$253.81	$432.00	$1,083.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.81 / $456.53 / $3,240.75	Facility		$253.81	$456.53	$3,240.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,980.00 / $5,807.00 / $5,807.00	Professional		$3,980.00	$5,807.00	$5,807.00
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 $253.81 / $432.00 / $1,083.29	Facility		$253.81	$432.00	$1,083.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,815.68 / $4,815.68 / $4,815.68	Facility		$4,815.68	$4,815.68	$4,815.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $5,807.00 / $5,807.00	Professional		$600.00	$5,807.00	$5,807.00