Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.25 / $519.14 / $837.36	Facility		$444.25	$519.14	$837.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $312.75 / $531.88	Professional		$250.20	$312.75	$531.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $234.00 / $1,083.29	Facility		$128.22	$234.00	$1,083.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $234.00 / $1,655.28	Facility		$128.22	$234.00	$1,655.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,432.00 / $5,807.00 / $5,807.00	Professional		$1,432.00	$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 $128.22 / $234.00 / $1,083.29	Facility		$128.22	$234.00	$1,083.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,524.13 / $1,524.13 / $1,524.13	Facility		$1,524.13	$1,524.13	$1,524.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $5,807.00 / $5,807.00	Professional		$325.00	$5,807.00	$5,807.00