Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,786.30	Professional		$2,187.76	$2,754.23	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $4,265.80	Facility		$1,995.26	$3,090.30	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $4,265.80	Facility		$1,995.26	$3,090.30	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $16,218.10 / $16,218.10	Professional		$3,019.95	$16,218.10	$16,218.10
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 $4,073.80 / $5,754.40 / $5,754.40	Facility		$4,073.80	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $16,218.10 / $16,218.10	Professional		$5,623.41	$16,218.10	$16,218.10