Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,691.53	Facility		$1,445.44	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,905.46	Professional		$1,000.00	$1,122.02	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,174.90	Facility		$457.09	$645.65	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $1,230.27	Facility		$457.09	$776.25	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
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 $8,912.51 / $12,882.50 / $12,882.50	Facility		$8,912.51	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $3,019.95	Professional		$1,778.28	$3,019.95	$3,019.95