Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,311.31	Professional		$1,230.27	$1,819.70	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,041.74	Facility		$707.95	$1,023.29	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,089.30	Facility		$707.95	$1,096.48	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,677.35 / $4,677.35	Professional		$4,265.80	$4,677.35	$4,677.35
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 $9,772.37 / $14,454.40 / $14,454.40	Facility		$9,772.37	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $4,677.35	Professional		$2,951.21	$4,677.35	$4,677.35