Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,510.28 / $1,764.88 / $2,707.37	Facility		$1,510.28	$1,764.88	$2,707.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.75 / $1,139.33 / $2,281.46	Professional		$622.75	$1,139.33	$2,281.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $533.65 / $696.25 / $1,149.78	Facility		$533.65	$696.25	$1,149.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.65 / $706.50 / $1,430.90	Facility		$533.65	$706.50	$1,430.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,955.00 / $2,955.00 / $2,955.00	Professional		$2,955.00	$2,955.00	$2,955.00
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 $533.65 / $696.25 / $1,149.78	Facility		$533.65	$696.25	$1,149.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,098.05 / $1,098.05 / $1,098.05	Facility		$1,098.05	$1,098.05	$1,098.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,098.05 / $1,639.97 / $2,955.00	Professional		$1,098.05	$1,639.97	$2,955.00