Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $8,128.31	Facility		$4,365.16	$5,128.61	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $4,466.84	Professional		$3,019.95	$3,388.44	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,981.07	Facility		$2,187.76	$2,818.38	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,981.07	Facility		$2,187.76	$2,818.38	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $8,511.38 / $8,511.38	Professional		$2,511.89	$8,511.38	$8,511.38
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 $5,011.87 / $6,606.93 / $6,606.93	Facility		$5,011.87	$6,606.93	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $8,511.38	Professional		$5,128.61	$8,511.38	$8,511.38