Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,535.99 / $4,132.09 / $6,664.91	Facility		$3,535.99	$4,132.09	$6,664.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,564.33 / $3,237.30 / $6,764.08	Professional		$2,564.33	$3,237.30	$6,764.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,004.73 / $3,140.00 / $4,305.00	Facility		$2,004.73	$3,140.00	$4,305.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,004.73 / $3,084.07 / $4,305.00	Facility		$2,004.73	$3,084.07	$4,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,992.00 / $16,279.00 / $16,279.00	Professional		$2,992.00	$16,279.00	$16,279.00
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 $2,004.73 / $3,140.00 / $4,305.00	Facility		$2,004.73	$3,140.00	$4,305.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.55 / $5,819.55 / $5,819.55	Facility		$5,819.55	$5,819.55	$5,819.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,565.75 / $16,279.00 / $16,279.00	Professional		$5,565.75	$16,279.00	$16,279.00