Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.81 / $1,322.61 / $2,028.91	Facility		$1,131.81	$1,322.61	$2,028.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.92 / $904.15 / $1,807.05	Professional		$689.92	$904.15	$1,807.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $589.39 / $919.50	Facility		$420.00	$589.39	$919.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $589.39 / $966.09	Facility		$420.00	$589.39	$966.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,109.44 / $2,109.44 / $2,109.44	Professional		$2,109.44	$2,109.44	$2,109.44
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 $420.00 / $589.39 / $919.50	Facility		$420.00	$589.39	$919.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,516.05 / $4,516.05 / $4,516.05	Facility		$4,516.05	$4,516.05	$4,516.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,264.18 / $2,109.44 / $2,109.44	Professional		$1,264.18	$2,109.44	$2,109.44