Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,064.22 / $1,243.63 / $1,652.89	Facility		$1,064.22	$1,243.63	$1,652.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $668.92 / $1,926.13	Professional		$176.45	$668.92	$1,926.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.17 / $314.35 / $1,345.49	Facility		$126.17	$314.35	$1,345.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.41 / $378.00 / $1,345.49	Facility		$126.41	$378.00	$1,345.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $762.00 / $2,108.69 / $2,108.69	Professional		$762.00	$2,108.69	$2,108.69
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 $126.41 / $314.35 / $979.23	Facility		$126.41	$314.35	$979.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $274.22 / $8,734.00	Facility		$93.24	$274.22	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $1,391.61 / $2,108.69	Professional		$274.22	$1,391.61	$2,108.69