Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,825.67 / $2,133.44 / $3,441.16	Facility		$1,825.67	$2,133.44	$3,441.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.91 / $1,391.10 / $3,304.27	Professional		$787.91	$1,391.10	$3,304.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $711.44 / $996.95 / $2,047.50	Facility		$711.44	$996.95	$2,047.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.44 / $996.95 / $2,047.50	Facility		$711.44	$996.95	$2,047.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,246.00 / $4,246.00 / $4,246.00	Professional		$4,246.00	$4,246.00	$4,246.00
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 $711.44 / $1,012.81 / $2,047.50	Facility		$711.44	$1,012.81	$2,047.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,707.35 / $5,707.35 / $5,707.35	Facility		$5,707.35	$5,707.35	$5,707.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,502.55 / $4,246.00 / $4,246.00	Professional		$1,502.55	$4,246.00	$4,246.00