Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,659.59	Facility		$891.25	$1,023.29	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $758.58	Professional		$501.19	$562.34	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $3,235.94	Facility		$251.19	$457.09	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $3,235.94	Facility		$251.19	$457.09	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $5,754.40	Professional		$3,981.07	$5,754.40	$5,754.40
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 $489.78 / $4,786.30 / $4,786.30	Facility		$489.78	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $5,754.40 / $5,754.40	Professional		$602.56	$5,754.40	$5,754.40