Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,804.94 / $2,109.21 / $3,402.10	Facility		$1,804.94	$2,109.21	$3,402.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.50 / $1,636.20 / $3,266.76	Professional		$1,134.50	$1,636.20	$3,266.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $791.71 / $1,120.00 / $1,774.50	Facility		$791.71	$1,120.00	$1,774.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.71 / $1,038.66 / $1,774.50	Facility		$791.71	$1,038.66	$1,774.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,066.00 / $5,066.00 / $5,066.00	Professional		$5,066.00	$5,066.00	$5,066.00
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 $791.71 / $989.63 / $1,774.50	Facility		$791.71	$989.63	$1,774.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,067.40 / $6,067.40 / $6,067.40	Facility		$6,067.40	$6,067.40	$6,067.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,993.40 / $5,066.00 / $5,066.00	Professional		$1,993.40	$5,066.00	$5,066.00