Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,727.45 / $2,018.66 / $3,096.67	Facility		$1,727.45	$2,018.66	$3,096.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.01 / $1,379.99 / $2,758.06	Professional		$1,053.01	$1,379.99	$2,758.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $668.43 / $894.94 / $1,417.09	Facility		$668.43	$894.94	$1,417.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $668.43 / $958.01 / $1,492.98	Facility		$668.43	$958.01	$1,492.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,225.29 / $3,225.29 / $3,225.29	Professional		$3,225.29	$3,225.29	$3,225.29
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 $668.43 / $894.94 / $1,417.09	Facility		$668.43	$894.94	$1,417.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,537.96 / $2,537.96 / $2,537.96	Facility		$2,537.96	$2,537.96	$2,537.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,021.95 / $3,225.29 / $3,225.29	Professional		$2,021.95	$3,225.29	$3,225.29