Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,311.31	Professional		$2,238.72	$2,511.89	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $4,168.69	Facility		$1,548.82	$1,862.09	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $4,168.69	Facility		$1,548.82	$1,862.09	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $8,128.31 / $8,128.31	Professional		$1,778.28	$8,128.31	$8,128.31
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 $7,762.47 / $11,748.98 / $11,748.98	Facility		$7,762.47	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $8,128.31	Professional		$5,370.32	$8,128.31	$8,128.31