Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.82 / $1,428.96 / $2,304.86	Facility		$1,222.82	$1,428.96	$2,304.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.80 / $1,119.53 / $2,339.16	Professional		$886.80	$1,119.53	$2,339.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $892.50 / $1,634.24	Facility		$659.40	$892.50	$1,634.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $892.50 / $1,634.24	Facility		$549.00	$892.50	$1,634.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $865.00 / $4,401.00 / $4,401.00	Professional		$865.00	$4,401.00	$4,401.00
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 $659.40 / $892.50 / $1,634.24	Facility		$659.40	$892.50	$1,634.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,264.80 / $3,264.80 / $3,264.80	Facility		$3,264.80	$3,264.80	$3,264.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,444.96 / $4,401.00 / $4,401.00	Professional		$1,444.96	$4,401.00	$4,401.00