Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,733.83 / $6,700.43 / $10,278.62	Facility		$5,733.83	$6,700.43	$10,278.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.88 / $3,114.67 / $7,882.17	Professional		$753.88	$3,114.67	$7,882.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $667.51 / $1,328.48 / $4,168.89	Facility		$667.51	$1,328.48	$4,168.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.51 / $1,328.48 / $4,168.89	Facility		$667.51	$1,328.48	$4,168.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,087.00 / $9,915.25 / $9,915.25	Professional		$9,087.00	$9,915.25	$9,915.25
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 $667.51 / $1,328.48 / $4,168.89	Facility		$667.51	$1,328.48	$4,168.89
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 $1,344.55 / $9,087.00 / $9,915.25	Professional		$1,344.55	$9,087.00	$9,915.25