Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,152.53 / $1,346.83 / $2,066.06	Facility		$1,152.53	$1,346.83	$2,066.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.55 / $920.71 / $1,867.48	Professional		$702.55	$920.71	$1,867.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $644.73 / $1,568.75	Facility		$424.16	$644.73	$1,568.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $720.33 / $1,117.66	Facility		$424.16	$720.33	$1,117.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,111.90 / $2,111.90 / $2,136.89	Professional		$2,111.90	$2,111.90	$2,136.89
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 $424.16 / $644.73 / $1,568.75	Facility		$424.16	$644.73	$1,568.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,298.67 / $2,111.90 / $2,136.89	Professional		$1,298.67	$2,111.90	$2,136.89