Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.89 / $1,119.36 / $1,717.14	Facility		$957.89	$1,119.36	$1,717.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $765.22 / $1,529.38	Professional		$583.91	$765.22	$1,529.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $451.36 / $860.07 / $1,649.12	Facility		$451.36	$860.07	$1,649.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.78 / $860.07 / $1,649.12	Facility		$547.78	$860.07	$1,649.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,127.76 / $4,127.76 / $4,127.76	Professional		$4,127.76	$4,127.76	$4,127.76
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 $451.36 / $860.07 / $1,649.12	Facility		$451.36	$860.07	$1,649.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,634.50 / $1,634.50 / $1,634.50	Facility		$1,634.50	$1,634.50	$1,634.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,289.63 / $4,127.76 / $4,127.76	Professional		$1,289.63	$4,127.76	$4,127.76