Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,012.73 / $22,217.88 / $34,082.80	Facility		$19,012.73	$22,217.88	$34,082.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.17 / $3,512.49 / $26,136.39	Professional		$850.17	$3,512.49	$26,136.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $1,142.35 / $13,566.39	Facility		$722.52	$1,142.35	$13,566.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $1,305.44 / $13,566.39	Facility		$722.52	$1,305.44	$13,566.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,578.44 / $28,868.39 / $28,868.39	Professional		$2,578.44	$28,868.39	$28,868.39
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 $722.52 / $1,142.35 / $13,566.39	Facility		$722.52	$1,142.35	$13,566.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,234.10 / $21,234.10 / $21,234.10	Facility		$21,234.10	$21,234.10	$21,234.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,528.58 / $20,196.95 / $28,868.39	Professional		$1,528.58	$20,196.95	$28,868.39