Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,466.84	Professional		$2,041.74	$2,570.40	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,548.13	Facility		$1,819.70	$2,691.53	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,548.13	Facility		$1,819.70	$2,691.53	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $13,489.63 / $13,489.63	Professional		$2,630.27	$13,489.63	$13,489.63
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 $3,715.35 / $5,128.61 / $5,128.61	Facility		$3,715.35	$5,128.61	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $13,489.63 / $13,489.63	Professional		$4,570.88	$13,489.63	$13,489.63