Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.43 / $1,529.00 / $2,466.21	Facility		$1,308.43	$1,529.00	$2,466.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.88 / $1,197.90 / $2,502.92	Professional		$948.88	$1,197.90	$2,502.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $761.24 / $1,125.53 / $1,417.50	Facility		$761.24	$1,125.53	$1,417.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $761.24 / $1,125.53 / $1,417.50	Facility		$761.24	$1,125.53	$1,417.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $973.00 / $4,156.21 / $4,156.21	Professional		$973.00	$4,156.21	$4,156.21
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 $761.24 / $1,125.53 / $1,417.50	Facility		$761.24	$1,125.53	$1,417.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,218.83 / $2,218.83 / $2,218.83	Facility		$2,218.83	$2,218.83	$2,218.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,832.63 / $4,156.21 / $4,156.21	Professional		$1,832.63	$4,156.21	$4,156.21