Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,531.63 / $13,475.62 / $20,671.95	Facility		$11,531.63	$13,475.62	$20,671.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.54 / $7,029.39 / $15,852.28	Professional		$380.54	$7,029.39	$15,852.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $527.09 / $8,212.09	Facility		$334.68	$527.09	$8,212.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $592.80 / $8,212.09	Facility		$334.68	$592.80	$8,212.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,187.55 / $17,449.43 / $17,449.43	Professional		$1,187.55	$17,449.43	$17,449.43
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 $334.68 / $527.09 / $8,212.09	Facility		$334.68	$527.09	$8,212.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,589.59 / $7,589.59 / $7,589.59	Facility		$7,589.59	$7,589.59	$7,589.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.41 / $12,240.92 / $17,449.43	Professional		$693.41	$12,240.92	$17,449.43