Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,551.14 / $7,655.53 / $12,348.10	Facility		$6,551.14	$7,655.53	$12,348.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.76 / $4,750.95 / $10,459.62	Professional		$953.76	$4,750.95	$10,459.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $717.42 / $1,209.53 / $10,586.32	Facility		$717.42	$1,209.53	$10,586.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.45 / $1,029.00 / $4,795.64	Facility		$655.45	$1,029.00	$4,795.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,052.00 / $17,882.24 / $17,882.24	Professional		$1,052.00	$17,882.24	$17,882.24
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 $717.42 / $1,209.53 / $10,586.32	Facility		$717.42	$1,209.53	$10,586.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,286.21 / $10,286.21 / $10,286.21	Facility		$10,286.21	$10,286.21	$10,286.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.08 / $10,906.30 / $17,882.24	Professional		$1,445.08	$10,906.30	$17,882.24