Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $261.14 / $421.23	Facility		$223.48	$261.14	$421.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $157.33 / $267.56	Professional		$125.86	$157.33	$267.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $170.67 / $556.66	Facility		$101.38	$170.67	$556.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $360.00 / $556.66	Facility		$101.38	$360.00	$556.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $2,984.00 / $2,984.00	Professional		$504.00	$2,984.00	$2,984.00
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 $101.38 / $170.67 / $556.66	Facility		$101.38	$170.67	$556.66
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 / $2,984.00 / $2,984.00	Professional		$916.45	$2,984.00	$2,984.00