Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,311.85 / $5,038.75 / $8,127.32	Facility		$4,311.85	$5,038.75	$8,127.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,127.00 / $3,947.63 / $8,248.24	Professional		$3,127.00	$3,947.63	$8,248.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,119.50 / $2,468.84 / $3,916.54	Facility		$2,119.50	$2,468.84	$3,916.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,119.50 / $2,468.84 / $3,916.54	Facility		$2,119.50	$2,468.84	$3,916.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,634.00 / $8,314.60 / $8,314.60	Professional		$2,634.00	$8,314.60	$8,314.60
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 $1,725.61 / $2,468.84 / $3,916.54	Facility		$1,725.61	$2,468.84	$3,916.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,604.80 / $6,604.80 / $6,604.80	Facility		$6,604.80	$6,604.80	$6,604.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,972.96 / $8,314.60 / $8,314.60	Professional		$4,972.96	$8,314.60	$8,314.60