Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $1,693.27 / $2,731.19	Facility		$1,449.00	$1,693.27	$2,731.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.77 / $1,313.54 / $2,622.54	Professional		$910.77	$1,313.54	$2,622.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $783.54 / $1,228.50	Facility		$418.95	$783.54	$1,228.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.97 / $783.54 / $1,228.50	Facility		$451.97	$783.54	$1,228.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,018.40 / $3,018.40 / $3,018.40	Professional		$3,018.40	$3,018.40	$3,018.40
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 $418.95 / $748.38 / $1,228.50	Facility		$418.95	$748.38	$1,228.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,981.45 / $12,981.45 / $12,981.45	Facility		$12,981.45	$12,981.45	$12,981.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,786.04 / $3,018.40 / $3,018.40	Professional		$1,786.04	$3,018.40	$3,018.40