Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,365.20 / $1,595.34 / $2,573.23	Facility		$1,365.20	$1,595.34	$2,573.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.05 / $1,249.88 / $2,611.51	Professional		$990.05	$1,249.88	$2,611.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $769.34 / $1,411.43 / $1,890.00	Facility		$769.34	$1,411.43	$1,890.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.34 / $1,157.21 / $1,890.00	Facility		$769.34	$1,157.21	$1,890.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,117.00 / $7,159.00 / $7,159.00	Professional		$1,117.00	$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 $769.34 / $1,411.43 / $1,890.00	Facility		$769.34	$1,411.43	$1,890.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,242.62 / $2,242.62 / $2,242.62	Facility		$2,242.62	$2,242.62	$2,242.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,443.50 / $7,159.00 / $7,159.00	Professional		$2,443.50	$7,159.00	$7,159.00