Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.71 / $855.06 / $1,379.18	Facility		$731.71	$855.06	$1,379.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $515.11 / $731.18	Professional		$412.09	$515.11	$731.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $396.00 / $542.91	Facility		$321.72	$396.00	$542.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.41 / $411.84 / $542.91	Facility		$324.41	$411.84	$542.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,208.00 / $2,208.00 / $2,208.00	Professional		$2,208.00	$2,208.00	$2,208.00
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 $266.83 / $392.29 / $494.21	Facility		$266.83	$392.29	$494.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,185.80 / $1,185.80 / $1,185.80	Facility		$1,185.80	$1,185.80	$1,185.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $689.72 / $2,208.00 / $2,208.00	Professional		$689.72	$2,208.00	$2,208.00