Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,702.46 / $3,158.04 / $4,844.51	Facility		$2,702.46	$3,158.04	$4,844.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.67 / $2,038.72 / $3,715.01	Professional		$1,131.67	$2,038.72	$3,715.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.16 / $1,025.21 / $2,075.51	Facility		$712.16	$1,025.21	$2,075.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.16 / $1,099.63 / $2,498.48	Facility		$712.16	$1,099.63	$2,498.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,292.00 / $4,714.54 / $4,714.54	Professional		$4,292.00	$4,714.54	$4,714.54
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 $712.16 / $1,025.21 / $2,075.51	Facility		$712.16	$1,025.21	$2,075.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,467.95 / $14,467.95 / $14,467.95	Facility		$14,467.95	$14,467.95	$14,467.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,986.01 / $4,292.00 / $4,714.54	Professional		$1,986.01	$4,292.00	$4,714.54