Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.72 / $396.99 / $609.00	Facility		$339.72	$396.99	$609.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $239.16 / $406.73	Professional		$191.33	$239.16	$406.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $288.60 / $525.07	Facility		$157.93	$288.60	$525.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $288.60 / $525.07	Facility		$157.93	$288.60	$525.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,012.00	Professional		$1,012.00	$1,012.00	$1,012.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $288.60 / $525.07	Facility		$157.93	$288.60	$525.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $778.41 / $778.41 / $778.41	Facility		$778.41	$778.41	$778.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $454.69 / $1,012.00 / $1,012.00	Professional		$454.69	$1,012.00	$1,012.00