Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,230.27	Professional		$457.09	$707.95	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $616.60 / $1,047.13	Facility		$346.74	$616.60	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $1,096.48	Facility		$354.81	$616.60	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,344.23	Professional		$2,137.96	$2,344.23	$2,344.23
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 $1,584.89 / $2,398.83 / $2,398.83	Facility		$1,584.89	$2,398.83	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,344.23	Professional		$1,380.38	$2,344.23	$2,344.23