Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,398.83	Facility		$1,288.25	$1,513.56	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $1,174.90	Professional		$125.89	$173.78	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $63.10 / $676.08	Facility		$18.62	$63.10	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $63.10 / $676.08	Facility		$18.62	$63.10	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $4,265.80 / $4,265.80	Professional		$147.91	$4,265.80	$4,265.80
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 $2,754.23 / $4,073.80 / $4,073.80	Facility		$2,754.23	$4,073.80	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,265.80 / $4,265.80	Professional		$1,698.24	$4,265.80	$4,265.80