Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,327.84 / $3,888.84 / $6,272.56	Facility		$3,327.84	$3,888.84	$6,272.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.21 / $2,535.71 / $6,023.04	Professional		$1,436.21	$2,535.71	$6,023.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,276.33 / $1,814.88 / $3,150.00	Facility		$1,276.33	$1,814.88	$3,150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,276.33 / $1,814.88 / $3,150.00	Facility		$1,276.33	$1,814.88	$3,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,050.73 / $6,050.73 / $6,050.73	Professional		$6,050.73	$6,050.73	$6,050.73
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 $1,276.33 / $1,817.73 / $3,327.42	Facility		$1,276.33	$1,817.73	$3,327.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,896.54 / $9,896.54 / $9,896.54	Facility		$9,896.54	$9,896.54	$9,896.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,725.95 / $6,050.73 / $6,050.73	Professional		$2,725.95	$6,050.73	$6,050.73