Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.96 / $3,344.42 / $5,394.44	Facility		$2,861.96	$3,344.42	$5,394.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.89 / $2,594.40 / $5,179.85	Professional		$1,798.89	$2,594.40	$5,179.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,290.03 / $1,575.00 / $2,447.91	Facility		$1,290.03	$1,575.00	$2,447.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.92 / $1,575.00 / $2,447.91	Facility		$1,238.92	$1,575.00	$2,447.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,494.34 / $5,494.34 / $5,494.34	Professional		$5,494.34	$5,494.34	$5,494.34
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 $1,182.38 / $1,507.20 / $2,312.15	Facility		$1,182.38	$1,507.20	$2,312.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,222.77 / $4,222.77 / $4,222.77	Facility		$4,222.77	$4,222.77	$4,222.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,248.10 / $5,494.34 / $5,494.34	Professional		$3,248.10	$5,494.34	$5,494.34