Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.40 / $1,412.11 / $2,277.69	Facility		$1,208.40	$1,412.11	$2,277.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.34 / $1,106.33 / $2,311.58	Professional		$876.34	$1,106.33	$2,311.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.71 / $1,029.00 / $1,494.64	Facility		$692.71	$1,029.00	$1,494.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.71 / $1,029.00 / $1,494.64	Facility		$692.71	$1,029.00	$1,494.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $4,854.00 / $4,854.00	Professional		$1,044.00	$4,854.00	$4,854.00
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 $692.71 / $1,029.00 / $1,494.64	Facility		$692.71	$1,029.00	$1,494.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,185.00 / $2,185.00 / $2,185.00	Facility		$2,185.00	$2,185.00	$2,185.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,626.71 / $4,854.00 / $4,854.00	Professional		$1,626.71	$4,854.00	$4,854.00