Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.55 / $420.16 / $677.70	Facility		$359.55	$420.16	$677.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $253.12 / $430.47	Professional		$202.49	$253.12	$430.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $396.90 / $1,013.35	Facility		$162.60	$396.90	$1,013.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $450.00 / $1,013.35	Facility		$162.60	$450.00	$1,013.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $5,432.00 / $5,432.00	Professional		$935.00	$5,432.00	$5,432.00
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 $162.60 / $396.90 / $1,013.35	Facility		$162.60	$396.90	$1,013.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,025.75 / $2,025.75 / $2,025.75	Facility		$2,025.75	$2,025.75	$2,025.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,702.55 / $5,432.00 / $5,432.00	Professional		$1,702.55	$5,432.00	$5,432.00