Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,426.54 / $6,341.35 / $10,228.37	Facility		$5,426.54	$6,341.35	$10,228.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,935.38 / $4,968.14 / $10,380.54	Professional		$3,935.38	$4,968.14	$10,380.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,083.57 / $3,297.00 / $4,751.37	Facility		$3,083.57	$3,297.00	$4,751.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,308.90 / $3,297.00 / $4,751.37	Facility		$2,308.90	$3,297.00	$4,751.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,355.00 / $17,046.00 / $17,046.00	Professional		$3,355.00	$17,046.00	$17,046.00
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 $3,083.57 / $3,297.00 / $4,751.37	Facility		$3,083.57	$3,297.00	$4,751.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,905.14 / $8,905.14 / $8,905.14	Facility		$8,905.14	$8,905.14	$8,905.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,032.74 / $17,046.00 / $17,046.00	Professional		$7,032.74	$17,046.00	$17,046.00