Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,260.91 / $2,642.05 / $4,261.54	Facility		$2,260.91	$2,642.05	$4,261.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.63 / $2,069.92 / $4,324.93	Professional		$1,639.63	$2,069.92	$4,324.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,224.59 / $1,227.61 / $1,785.00	Facility		$1,224.59	$1,227.61	$1,785.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.08 / $1,227.61 / $1,785.00	Facility		$870.08	$1,227.61	$1,785.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $4,110.00 / $4,110.00	Professional		$1,294.00	$4,110.00	$4,110.00
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 $937.49 / $1,227.61 / $1,785.00	Facility		$937.49	$1,227.61	$1,785.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,448.50 / $5,448.50 / $5,448.50	Facility		$5,448.50	$5,448.50	$5,448.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,802.76 / $4,110.00 / $4,110.00	Professional		$2,802.76	$4,110.00	$4,110.00