Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,951.21	Professional		$1,348.96	$1,659.59	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,862.09	Facility		$1,202.26	$1,258.93	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,862.09	Facility		$1,202.26	$1,258.93	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $5,370.32	Professional		$1,819.70	$5,370.32	$5,370.32
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 $2,398.83 / $3,630.78 / $3,630.78	Facility		$2,398.83	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $5,370.32	Professional		$3,019.95	$5,370.32	$5,370.32