Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,778.28	Professional		$1,148.15	$1,380.38	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,445.44	Facility		$912.01	$912.01	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,445.44	Facility		$912.01	$912.01	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
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 $1,737.80 / $1,737.80 / $2,884.03	Facility		$1,737.80	$1,737.80	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $3,801.89	Professional		$1,862.09	$3,801.89	$3,801.89