Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,094.45 / $3,616.11 / $5,832.65	Facility		$3,094.45	$3,616.11	$5,832.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,244.12 / $2,833.05 / $5,919.43	Professional		$2,244.12	$2,833.05	$5,919.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,735.02 / $1,735.02 / $2,727.06	Facility		$1,735.02	$1,735.02	$2,727.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,735.02 / $1,737.77 / $2,727.06	Facility		$1,735.02	$1,737.77	$2,727.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,781.00 / $8,781.00 / $8,781.00	Professional		$8,781.00	$8,781.00	$8,781.00
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 $1,735.02 / $1,735.02 / $2,727.06	Facility		$1,735.02	$1,735.02	$2,727.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,204.25 / $5,204.25 / $5,204.25	Facility		$5,204.25	$5,204.25	$5,204.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,304.89 / $4,304.89 / $8,781.00	Professional		$4,304.89	$4,304.89	$8,781.00