Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,137.96	Facility		$1,148.15	$1,348.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,737.80	Professional		$741.31	$891.25	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $1,000.00	Facility		$426.58	$630.96	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,000.00	Facility		$446.68	$645.65	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,137.96	Professional		$2,089.30	$2,089.30	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $1,995.26	Facility		$1,288.25	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $2,137.96	Professional		$1,318.26	$2,137.96	$2,137.96