Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,719.17 / $5,514.72 / $8,895.04	Facility		$4,719.17	$5,514.72	$8,895.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.13 / $1,635.86 / $7,534.67	Professional		$645.13	$1,635.86	$7,534.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $486.86 / $750.73 / $2,499.34	Facility		$486.86	$750.73	$2,499.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.73 / $735.00 / $2,499.34	Facility		$460.73	$735.00	$2,499.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $11,564.19 / $11,564.19	Professional		$733.00	$11,564.19	$11,564.19
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 $486.86 / $750.73 / $2,499.34	Facility		$486.86	$750.73	$2,499.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $980.68 / $980.68 / $980.68	Facility		$980.68	$980.68	$980.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $980.68 / $7,059.15 / $11,564.19	Professional		$980.68	$7,059.15	$11,564.19