Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.84 / $2,291.39 / $3,515.06	Facility		$1,960.84	$2,291.39	$3,515.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.49 / $1,479.24 / $2,695.52	Professional		$861.49	$1,479.24	$2,695.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.40 / $931.72 / $1,500.43	Facility		$692.40	$931.72	$1,500.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.40 / $931.72 / $1,505.56	Facility		$692.40	$931.72	$1,505.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $3,870.00	Professional		$3,870.00	$3,870.00	$3,870.00
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 $692.40 / $931.72 / $1,500.43	Facility		$692.40	$931.72	$1,500.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,795.35 / $7,795.35 / $7,795.35	Facility		$7,795.35	$7,795.35	$7,795.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,520.52 / $2,139.56 / $3,870.00	Professional		$1,520.52	$2,139.56	$3,870.00