Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,799.54 / $2,102.90 / $3,225.90	Facility		$1,799.54	$2,102.90	$3,225.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.95 / $1,437.57 / $2,873.16	Professional		$1,096.95	$1,437.57	$2,873.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.66 / $972.29 / $1,437.57	Facility		$634.66	$972.29	$1,437.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.66 / $1,100.97 / $1,814.62	Facility		$634.66	$1,100.97	$1,814.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,273.00 / $4,273.00 / $4,273.00	Professional		$4,273.00	$4,273.00	$4,273.00
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 $634.66 / $972.29 / $1,437.57	Facility		$634.66	$972.29	$1,437.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,261.45 / $5,261.45 / $5,261.45	Facility		$5,261.45	$5,261.45	$5,261.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,579.25 / $4,273.00 / $4,273.00	Professional		$2,579.25	$4,273.00	$4,273.00