Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,334.56 / $1,559.54 / $2,515.48	Facility		$1,334.56	$1,559.54	$2,515.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.84 / $1,209.79 / $2,415.41	Professional		$838.84	$1,209.79	$2,415.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.75 / $749.30 / $1,775.14	Facility		$588.75	$749.30	$1,775.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.75 / $749.30 / $1,775.14	Facility		$588.75	$749.30	$1,775.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,562.42 / $2,562.42 / $2,562.42	Professional		$2,562.42	$2,562.42	$2,562.42
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 $576.42 / $743.26 / $1,775.14	Facility		$576.42	$743.26	$1,775.14
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 $1,640.10 / $2,562.42 / $2,562.42	Professional		$1,640.10	$2,562.42	$2,562.42