Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,454.71	Facility		$1,318.26	$1,513.56	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,318.26	Professional		$891.25	$1,023.29	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,412.54	Facility		$758.58	$1,122.02	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,412.54	Facility		$758.58	$1,122.02	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,168.69 / $4,168.69	Professional		$977.24	$4,168.69	$4,168.69
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 $1,548.82 / $2,238.72 / $2,238.72	Facility		$1,548.82	$2,238.72	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $4,168.69	Professional		$1,819.70	$4,168.69	$4,168.69