Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.61 / $856.11 / $1,380.88	Facility		$732.61	$856.11	$1,380.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.60 / $515.75 / $732.08	Professional		$412.60	$515.75	$732.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $297.43 / $368.00 / $544.21	Facility		$297.43	$368.00	$544.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $306.39 / $382.72 / $544.21	Facility		$306.39	$382.72	$544.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $2,052.00 / $2,052.00	Professional		$2,052.00	$2,052.00	$2,052.00
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 $267.50 / $360.00 / $459.26	Facility		$267.50	$360.00	$459.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,121.11 / $1,121.11 / $1,121.11	Facility		$1,121.11	$1,121.11	$1,121.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $731.80 / $2,052.00 / $2,052.00	Professional		$731.80	$2,052.00	$2,052.00