Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,847.83 / $22,025.18 / $33,787.18	Facility		$18,847.83	$22,025.18	$33,787.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.12 / $3,334.64 / $25,909.70	Professional		$807.12	$3,334.64	$25,909.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $686.06 / $1,084.52 / $13,440.28	Facility		$686.06	$1,084.52	$13,440.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.06 / $1,253.13 / $13,440.28	Facility		$686.06	$1,253.13	$13,440.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,446.67 / $28,592.13 / $28,592.13	Professional		$2,446.67	$28,592.13	$28,592.13
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 $686.06 / $1,084.52 / $13,440.28	Facility		$686.06	$1,084.52	$13,440.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,451.71 / $1,451.71 / $1,451.71	Facility		$1,451.71	$1,451.71	$1,451.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,451.71 / $20,017.49 / $28,592.13	Professional		$1,451.71	$20,017.49	$28,592.13