Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,690.09 / $4,312.16 / $6,955.36	Facility		$3,690.09	$4,312.16	$6,955.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.94 / $2,783.78 / $5,891.63	Professional		$606.94	$2,783.78	$5,891.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $633.15 / $1,947.41	Facility		$374.40	$633.15	$1,947.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $555.77 / $1,947.41	Facility		$374.40	$555.77	$1,947.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $8,197.86 / $8,197.86	Professional		$638.00	$8,197.86	$8,197.86
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 $374.40 / $633.15 / $1,947.41	Facility		$374.40	$633.15	$1,947.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $770.64 / $770.64 / $770.64	Facility		$770.64	$770.64	$770.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $754.15 / $5,066.80 / $8,197.86	Professional		$754.15	$5,066.80	$8,197.86