Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,566.88 / $5,336.76 / $8,608.00	Facility		$4,566.88	$5,336.76	$8,608.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.94 / $4,181.10 / $8,736.07	Professional		$3,311.94	$4,181.10	$8,736.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,923.25 / $2,613.28 / $4,140.91	Facility		$1,923.25	$2,613.28	$4,140.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,923.25 / $2,613.28 / $4,140.91	Facility		$1,923.25	$2,613.28	$4,140.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,527.00 / $8,793.54 / $8,793.54	Professional		$2,527.00	$8,793.54	$8,793.54
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 $1,612.46 / $2,613.28 / $4,140.91	Facility		$1,612.46	$2,613.28	$4,140.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,919.50 / $6,919.50 / $6,919.50	Facility		$6,919.50	$6,919.50	$6,919.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,263.90 / $8,793.54 / $8,793.54	Professional		$5,263.90	$8,793.54	$8,793.54