Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,251.66 / $1,462.66 / $2,359.21	Facility		$1,251.66	$1,462.66	$2,359.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.61 / $980.29 / $1,988.59	Professional		$474.61	$980.29	$1,988.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $362.52 / $630.63 / $1,200.00	Facility		$362.52	$630.63	$1,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.52 / $619.69 / $1,281.96	Facility		$362.52	$619.69	$1,281.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,122.00 / $2,324.05 / $2,324.05	Professional		$2,122.00	$2,324.05	$2,324.05
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 $358.10 / $619.69 / $1,200.00	Facility		$358.10	$619.69	$1,200.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,404.55 / $2,404.55 / $2,404.55	Facility		$2,404.55	$2,404.55	$2,404.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.35 / $2,324.05 / $2,324.05	Professional		$758.35	$2,324.05	$2,324.05