Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.28 / $263.26 / $424.63	Facility		$225.28	$263.26	$424.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $158.59 / $269.72	Professional		$126.88	$158.59	$269.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.28 / $176.62 / $546.65	Facility		$102.28	$176.62	$546.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.28 / $342.00 / $546.65	Facility		$102.28	$342.00	$546.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $2,930.00 / $2,930.00	Professional		$504.00	$2,930.00	$2,930.00
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 $102.28 / $176.62 / $546.65	Facility		$102.28	$176.62	$546.65
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 $916.45 / $2,930.00 / $2,930.00	Professional		$916.45	$2,930.00	$2,930.00