Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,290.87	Facility		$1,230.27	$1,445.44	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,230.27	Professional		$831.76	$954.99	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,621.81	Facility		$549.54	$691.83	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,621.81	Facility		$549.54	$691.83	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $4,365.16 / $4,365.16	Professional		$870.96	$4,365.16	$4,365.16
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 $1,380.38 / $3,235.94 / $3,235.94	Facility		$1,380.38	$3,235.94	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,365.16 / $4,365.16	Professional		$1,445.44	$4,365.16	$4,365.16