Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $800.30 / $1,227.69	Facility		$684.85	$800.30	$1,227.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $482.13 / $819.94	Professional		$385.70	$482.13	$819.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.76 / $359.19 / $707.07	Facility		$314.76	$359.19	$707.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.76 / $359.19 / $707.07	Facility		$314.76	$359.19	$707.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $1,658.00 / $1,658.00	Professional		$1,658.00	$1,658.00	$1,658.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.76 / $359.19 / $707.07	Facility		$314.76	$359.19	$707.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $987.09 / $987.09 / $987.09	Facility		$987.09	$987.09	$987.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $743.11 / $1,658.00 / $1,658.00	Professional		$743.11	$1,658.00	$1,658.00