Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,677.89 / $1,960.74 / $3,162.61	Facility		$1,677.89	$1,960.74	$3,162.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.82 / $1,536.15 / $3,209.66	Professional		$1,216.82	$1,536.15	$3,209.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $937.03 / $1,470.00 / $2,476.66	Facility		$937.03	$1,470.00	$2,476.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $926.19 / $1,470.00 / $2,476.66	Facility		$926.19	$1,470.00	$2,476.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,322.00 / $4,309.00 / $4,309.00	Professional		$1,322.00	$4,309.00	$4,309.00
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 $937.03 / $1,470.00 / $2,476.66	Facility		$937.03	$1,470.00	$2,476.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,812.02 / $2,812.02 / $2,812.02	Facility		$2,812.02	$2,812.02	$2,812.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,335.77 / $4,309.00 / $4,309.00	Professional		$2,335.77	$4,309.00	$4,309.00