Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,659.59	Professional		$1,288.25	$1,445.44	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,047.13 / $1,698.24	Facility		$138.04	$1,047.13	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,047.13 / $1,698.24	Facility		$138.04	$1,047.13	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $7,585.78 / $7,585.78	Professional		$1,288.25	$7,585.78	$7,585.78
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 $1,905.46 / $3,162.28 / $3,162.28	Facility		$1,905.46	$3,162.28	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $7,585.78 / $7,585.78	Professional		$2,290.87	$7,585.78	$7,585.78