Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.96 / $1,651.15 / $2,663.25	Facility		$1,412.96	$1,651.15	$2,663.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.69 / $1,293.59 / $2,702.87	Professional		$1,024.69	$1,293.59	$2,702.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $764.01 / $832.10 / $1,094.05	Facility		$764.01	$832.10	$1,094.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.41 / $832.10 / $1,094.05	Facility		$638.41	$832.10	$1,094.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $2,885.41 / $2,885.41	Professional		$1,183.00	$2,885.41	$2,885.41
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 $764.01 / $832.10 / $1,094.05	Facility		$764.01	$832.10	$1,094.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,809.80 / $11,809.80 / $11,809.80	Facility		$11,809.80	$11,809.80	$11,809.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,962.25 / $2,885.41 / $2,885.41	Professional		$1,962.25	$2,885.41	$2,885.41