Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.92 / $1,715.39 / $2,631.45	Facility		$1,467.92	$1,715.39	$2,631.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.72 / $1,033.40 / $1,757.47	Professional		$826.72	$1,033.40	$1,757.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $683.70 / $760.50 / $1,118.81	Facility		$683.70	$760.50	$1,118.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.70 / $760.50 / $1,118.81	Facility		$683.70	$760.50	$1,118.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,522.00 / $4,522.00 / $4,522.00	Professional		$4,522.00	$4,522.00	$4,522.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $683.70 / $760.50 / $1,118.81	Facility		$683.70	$760.50	$1,118.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,563.56 / $5,563.56 / $5,563.56	Facility		$5,563.56	$5,563.56	$5,563.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,398.88 / $4,522.00 / $4,522.00	Professional		$1,398.88	$4,522.00	$4,522.00