Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,170.55 / $1,367.89 / $2,098.37	Facility		$1,170.55	$1,367.89	$2,098.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.54 / $935.11 / $1,868.92	Professional		$713.54	$935.11	$1,868.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $527.84 / $861.57 / $1,584.00	Facility		$527.84	$861.57	$1,584.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.84 / $861.57 / $1,584.00	Facility		$527.84	$861.57	$1,584.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,244.00 / $6,244.00 / $6,244.00	Professional		$6,244.00	$6,244.00	$6,244.00
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 $527.84 / $861.57 / $1,584.00	Facility		$527.84	$861.57	$1,584.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,803.99 / $1,803.99 / $1,803.99	Facility		$1,803.99	$1,803.99	$1,803.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,267.03 / $6,244.00 / $6,244.00	Professional		$2,267.03	$6,244.00	$6,244.00