Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.63 / $312.75 / $504.45	Facility		$267.63	$312.75	$504.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $188.41 / $320.42	Professional		$150.72	$188.41	$320.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $234.00 / $983.45	Facility		$76.88	$234.00	$983.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $234.00 / $1,223.98	Facility		$76.88	$234.00	$1,223.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,467.00 / $5,272.00 / $5,272.00	Professional		$1,467.00	$5,272.00	$5,272.00
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 $76.88 / $234.00 / $983.45	Facility		$76.88	$234.00	$983.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,821.49 / $1,821.49 / $1,821.49	Facility		$1,821.49	$1,821.49	$1,821.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $5,272.00 / $5,272.00	Professional		$325.00	$5,272.00	$5,272.00