Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $6,456.54	Facility		$3,467.37	$3,981.07	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $4,677.35	Professional		$2,137.96	$2,691.53	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $3,981.07	Facility		$1,949.84	$3,019.95	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $3,981.07	Facility		$1,949.84	$3,019.95	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $15,488.17 / $15,488.17	Professional		$2,884.03	$15,488.17	$15,488.17
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 $3,890.45 / $5,754.40 / $5,754.40	Facility		$3,890.45	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $15,488.17 / $15,488.17	Professional		$5,128.61	$15,488.17	$15,488.17