Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,445.44	Professional		$977.24	$1,096.48	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,096.48	Facility		$645.65	$794.33	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,096.48	Facility		$645.65	$794.33	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $2,884.03	Professional		$1,174.90	$2,884.03	$2,884.03
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 $7,943.28 / $11,748.98 / $11,748.98	Facility		$7,943.28	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $2,884.03	Professional		$1,949.84	$2,884.03	$2,884.03