Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,445.88 / $4,026.79 / $6,495.06	Facility		$3,445.88	$4,026.79	$6,495.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,498.98 / $3,154.80 / $6,591.70	Professional		$2,498.98	$3,154.80	$6,591.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,952.13 / $3,023.82 / $3,990.00	Facility		$1,952.13	$3,023.82	$3,990.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,952.13 / $3,000.53 / $3,990.00	Facility		$1,952.13	$3,000.53	$3,990.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,861.00 / $15,341.00 / $15,341.00	Professional		$2,861.00	$15,341.00	$15,341.00
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 $1,952.13 / $3,023.82 / $3,990.00	Facility		$1,952.13	$3,023.82	$3,990.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,753.88 / $5,753.88 / $5,753.88	Facility		$5,753.88	$5,753.88	$5,753.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,158.50 / $15,341.00 / $15,341.00	Professional		$5,158.50	$15,341.00	$15,341.00