Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.74 / $599.16 / $919.15	Facility		$512.74	$599.16	$919.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $360.96 / $613.87	Professional		$288.77	$360.96	$613.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $249.60 / $478.66	Facility		$235.12	$249.60	$478.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $249.60 / $478.66	Facility		$235.12	$249.60	$478.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,141.00 / $1,141.00 / $1,141.00	Professional		$1,141.00	$1,141.00	$1,141.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $249.60 / $478.66	Facility		$235.12	$249.60	$478.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $770.25 / $770.25 / $770.25	Facility		$770.25	$770.25	$770.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $510.71 / $1,141.00 / $1,141.00	Professional		$510.71	$1,141.00	$1,141.00