Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.14 / $1,379.71 / $1,958.37	Facility		$1,214.14	$1,379.71	$1,958.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $532.63 / $638.15	Professional		$517.54	$532.63	$638.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $164.18 / $503.49	Facility		$55.27	$164.18	$503.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $164.18 / $503.49	Facility		$55.27	$164.18	$503.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,590.89 / $1,590.89 / $1,590.89	Professional		$1,590.89	$1,590.89	$1,590.89
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 $55.27 / $164.18 / $503.49	Facility		$55.27	$164.18	$503.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $709.00 / $1,590.89 / $1,590.89	Professional		$709.00	$1,590.89	$1,590.89