Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,370.32	Facility		$2,884.03	$3,311.31	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,801.89	Professional		$1,949.84	$2,238.72	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,290.87	Facility		$1,023.29	$1,479.11	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,454.71	Facility		$1,288.25	$1,584.89	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
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 $3,235.94 / $4,265.80 / $4,265.80	Facility		$3,235.94	$4,265.80	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $5,495.41	Professional		$3,235.94	$5,495.41	$5,495.41