Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,144.67 / $2,506.21 / $4,042.43	Facility		$2,144.67	$2,506.21	$4,042.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.33 / $1,963.50 / $4,102.58	Professional		$1,555.33	$1,963.50	$4,102.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,200.30 / $1,323.00 / $1,879.50	Facility		$1,200.30	$1,323.00	$1,879.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.30 / $1,250.15 / $1,879.50	Facility		$1,200.30	$1,250.15	$1,879.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,805.00 / $5,352.35 / $5,352.35	Professional		$1,805.00	$5,352.35	$5,352.35
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 $1,200.30 / $1,323.00 / $1,879.50	Facility		$1,200.30	$1,323.00	$1,879.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,658.83 / $3,658.83 / $3,658.83	Facility		$3,658.83	$3,658.83	$3,658.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,004.15 / $5,352.35 / $5,352.35	Professional		$3,004.15	$5,352.35	$5,352.35