Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,238.72	Facility		$1,174.90	$1,380.38	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,584.89	Professional		$812.83	$933.25	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $954.99	Facility		$398.11	$562.34	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $1,148.15	Facility		$426.58	$630.96	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
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 / $5,754.40 / $5,754.40	Facility		$3,981.07	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $2,238.72	Professional		$1,445.44	$2,238.72	$2,238.72