Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.04 / $414.89 / $669.21	Facility		$355.04	$414.89	$669.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $249.94 / $425.07	Professional		$199.96	$249.94	$425.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.55 / $342.00 / $1,168.96	Facility		$160.55	$342.00	$1,168.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.55 / $342.00 / $1,168.96	Facility		$160.55	$342.00	$1,168.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $934.00 / $6,266.00 / $6,266.00	Professional		$934.00	$6,266.00	$6,266.00
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 $160.55 / $342.00 / $1,168.96	Facility		$160.55	$342.00	$1,168.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,070.00 / $2,070.00	Facility		$2,070.00	$2,070.00	$2,070.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,701.57 / $6,266.00 / $6,266.00	Professional		$1,701.57	$6,266.00	$6,266.00