Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,265.66 / $3,816.18 / $6,155.36	Facility		$3,265.66	$3,816.18	$6,155.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,368.28 / $2,989.80 / $6,246.95	Professional		$2,368.28	$2,989.80	$6,246.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,855.90 / $2,687.84 / $3,570.00	Facility		$1,855.90	$2,687.84	$3,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,812.79 / $2,687.84 / $3,570.00	Facility		$1,812.79	$2,687.84	$3,570.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,643.00 / $13,636.00 / $13,636.00	Professional		$2,643.00	$13,636.00	$13,636.00
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 $1,855.90 / $2,687.84 / $3,570.00	Facility		$1,855.90	$2,687.84	$3,570.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,184.27 / $5,184.27 / $5,184.27	Facility		$5,184.27	$5,184.27	$5,184.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,615.50 / $13,636.00 / $13,636.00	Professional		$4,615.50	$13,636.00	$13,636.00