Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,393.37 / $2,796.85 / $4,511.22	Facility		$2,393.37	$2,796.85	$4,511.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,735.70 / $2,191.19 / $4,578.34	Professional		$1,735.70	$2,191.19	$4,578.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,361.11 / $1,411.43 / $3,780.00	Facility		$1,361.11	$1,411.43	$3,780.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,276.56 / $1,411.43 / $3,780.00	Facility		$1,276.56	$1,411.43	$3,780.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,902.00 / $7,159.00 / $7,159.00	Professional		$1,902.00	$7,159.00	$7,159.00
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 $1,361.11 / $1,411.43 / $3,780.00	Facility		$1,361.11	$1,411.43	$3,780.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,352.76 / $4,352.76 / $4,352.76	Facility		$4,352.76	$4,352.76	$4,352.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,887.00 / $7,159.00 / $7,159.00	Professional		$4,887.00	$7,159.00	$7,159.00