Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.44 / $506.51 / $816.98	Facility		$433.44	$506.51	$816.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.11 / $305.13 / $518.92	Professional		$244.11	$305.13	$518.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.49 / $323.07 / $1,083.29	Facility		$193.49	$323.07	$1,083.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.49 / $450.00 / $1,083.29	Facility		$193.49	$450.00	$1,083.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $5,807.00 / $5,807.00	Professional		$998.00	$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 $193.49 / $323.07 / $1,083.29	Facility		$193.49	$323.07	$1,083.29
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 $1,808.40 / $5,807.00 / $5,807.00	Professional		$1,808.40	$5,807.00	$5,807.00