Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,388.44	Facility		$1,819.70	$2,089.30	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,398.83	Professional		$1,230.27	$1,412.54	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,621.81	Facility		$794.33	$1,000.00	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,778.28	Facility		$812.83	$1,000.00	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
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 $3,981.07 / $6,025.60 / $6,025.60	Facility		$3,981.07	$6,025.60	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,011.87 / $5,011.87	Professional		$1,995.26	$5,011.87	$5,011.87