Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,309.57 / $2,698.92 / $4,353.26	Facility		$2,309.57	$2,698.92	$4,353.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.72 / $1,625.90 / $2,765.13	Professional		$1,300.72	$1,625.90	$2,765.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $189.52 / $360.00 / $1,403.61	Facility		$189.52	$360.00	$1,403.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.52 / $1,042.96 / $1,403.61	Facility		$189.52	$1,042.96	$1,403.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $7,524.00 / $7,524.00	Professional		$1,294.00	$7,524.00	$7,524.00
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 $189.52 / $360.00 / $1,403.61	Facility		$189.52	$360.00	$1,403.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,190.88 / $3,190.88 / $3,190.88	Facility		$3,190.88	$3,190.88	$3,190.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,280.07 / $7,524.00 / $7,524.00	Professional		$2,280.07	$7,524.00	$7,524.00