Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,235.94	Professional		$1,479.11	$1,862.09	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $3,801.89	Facility		$1,288.25	$1,412.54	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $3,801.89	Facility		$1,288.25	$1,412.54	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $7,079.46 / $7,079.46	Professional		$1,905.46	$7,079.46	$7,079.46
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 $2,754.23 / $4,365.16 / $4,365.16	Facility		$2,754.23	$4,365.16	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,079.46 / $7,079.46	Professional		$4,897.79	$7,079.46	$7,079.46