Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,849.34 / $3,329.68 / $5,370.66	Facility		$2,849.34	$3,329.68	$5,370.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,066.37 / $2,608.65 / $5,450.56	Professional		$2,066.37	$2,608.65	$5,450.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,560.89 / $1,560.89 / $2,255.23	Facility		$1,560.89	$1,560.89	$2,255.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,335.36 / $1,560.89 / $2,255.23	Facility		$1,335.36	$1,560.89	$2,255.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,031.00 / $5,178.67 / $5,178.67	Professional		$2,031.00	$5,178.67	$5,178.67
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 $1,560.89 / $1,560.89 / $2,255.23	Facility		$1,560.89	$1,560.89	$2,255.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,604.80 / $11,604.80 / $11,604.80	Facility		$11,604.80	$11,604.80	$11,604.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,345.68 / $5,178.67 / $5,178.67	Professional		$3,345.68	$5,178.67	$5,178.67