Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.66 / $2,314.56 / $3,550.59	Facility		$1,980.66	$2,314.56	$3,550.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.49 / $1,394.36 / $2,371.35	Professional		$1,115.49	$1,394.36	$2,371.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $905.04 / $1,449.92	Facility		$905.04	$905.04	$1,449.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $905.04 / $1,449.92	Facility		$905.04	$905.04	$1,449.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,816.68 / $3,816.68 / $3,816.68	Professional		$3,816.68	$3,816.68	$3,816.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $905.04 / $1,449.92	Facility		$905.04	$905.04	$1,449.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,895.18 / $2,895.18 / $2,895.18	Facility		$2,895.18	$2,895.18	$2,895.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,840.88 / $3,816.68 / $3,816.68	Professional		$1,840.88	$3,816.68	$3,816.68