Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.68 / $1,387.89 / $2,238.62	Facility		$1,187.68	$1,387.89	$2,238.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.52 / $1,076.64 / $2,149.57	Professional		$746.52	$1,076.64	$2,149.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $636.54 / $955.50	Facility		$392.50	$636.54	$955.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.89 / $644.07 / $955.50	Facility		$430.89	$644.07	$955.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,243.96 / $2,243.96 / $2,243.96	Professional		$2,243.96	$2,243.96	$2,243.96
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 $392.50 / $610.48 / $955.50	Facility		$392.50	$610.48	$955.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,811.00 / $5,811.00 / $5,811.00	Facility		$5,811.00	$5,811.00	$5,811.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,430.32 / $2,243.96 / $2,243.96	Professional		$1,430.32	$2,243.96	$2,243.96