Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,367.72 / $5,104.04 / $8,232.62	Facility		$4,367.72	$5,104.04	$8,232.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,167.51 / $3,998.78 / $8,355.12	Professional		$3,167.51	$3,998.78	$8,355.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,501.38 / $3,611.00 / $3,990.00	Facility		$2,501.38	$3,611.00	$3,990.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,181.02 / $3,611.00 / $3,990.00	Facility		$2,181.02	$3,611.00	$3,990.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,534.00 / $8,426.08 / $8,426.08	Professional		$2,534.00	$8,426.08	$8,426.08
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 $2,501.38 / $3,611.00 / $3,990.00	Facility		$2,501.38	$3,611.00	$3,990.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,598.41 / $6,598.41 / $6,598.41	Facility		$6,598.41	$6,598.41	$6,598.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,158.50 / $8,426.08 / $8,426.08	Professional		$5,158.50	$8,426.08	$8,426.08