Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,723.01 / $6,687.79 / $10,259.25	Facility		$5,723.01	$6,687.79	$10,259.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.18 / $3,266.78 / $7,867.30	Professional		$788.18	$3,266.78	$7,867.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $700.57 / $1,499.80 / $4,168.51	Facility		$700.57	$1,499.80	$4,168.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.57 / $1,499.80 / $4,285.13	Facility		$700.57	$1,499.80	$4,285.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,451.00 / $10,880.52 / $10,880.52	Professional		$9,451.00	$10,880.52	$10,880.52
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 $700.57 / $1,499.80 / $4,168.51	Facility		$700.57	$1,499.80	$4,168.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,405.90 / $8,405.90 / $8,405.90	Facility		$8,405.90	$8,405.90	$8,405.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,411.16 / $9,451.00 / $10,880.52	Professional		$1,411.16	$9,451.00	$10,880.52