Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $4,570.88	Professional		$2,089.30	$2,570.40	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,311.31	Facility		$1,288.25	$1,819.70	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,162.28	Facility		$1,288.25	$1,819.70	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
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 $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,025.60 / $6,025.60	Professional		$4,073.80	$6,025.60	$6,025.60