Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,233.22 / $3,778.27 / $6,094.22	Facility		$3,233.22	$3,778.27	$6,094.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.76 / $2,960.10 / $6,184.89	Professional		$2,344.76	$2,960.10	$6,184.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,844.98 / $3,328.40 / $4,200.00	Facility		$1,844.98	$3,328.40	$4,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,564.81 / $2,908.70 / $4,200.00	Facility		$1,564.81	$2,908.70	$4,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,788.00 / $8,064.84 / $8,064.84	Professional		$1,788.00	$8,064.84	$8,064.84
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 $1,612.44 / $2,908.70 / $4,200.00	Facility		$1,612.44	$2,908.70	$4,200.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,632.60 / $11,632.60 / $11,632.60	Facility		$11,632.60	$11,632.60	$11,632.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,430.00 / $8,064.84 / $8,064.84	Professional		$5,430.00	$8,064.84	$8,064.84