Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.57 / $1,005.64 / $1,542.68	Facility		$860.57	$1,005.64	$1,542.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.42 / $1,039.54 / $1,181.30	Professional		$394.42	$1,039.54	$1,181.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.47 / $2,057.92 / $2,057.92	Facility		$374.47	$2,057.92	$2,057.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.47 / $2,057.92 / $2,057.92	Facility		$374.47	$2,057.92	$2,057.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $70.00	Professional		$55.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $374.47 / $2,057.92 / $2,057.92	Facility		$374.47	$2,057.92	$2,057.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $184.43 / $184.43	Facility		$184.43	$184.43	$184.43