Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,862.09	Facility		$1,000.00	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $891.25	Professional		$588.84	$707.95	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $741.31	Facility		$457.09	$707.95	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $741.31	Facility		$457.09	$707.95	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $5,248.07 / $5,248.07	Professional		$912.01	$5,248.07	$5,248.07
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 $1,096.48 / $1,698.24 / $1,698.24	Facility		$1,096.48	$1,698.24	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $5,248.07	Professional		$1,659.59	$5,248.07	$5,248.07