Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $549.54	Professional		$426.58	$478.63	$549.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $707.95	Facility		$457.09	$457.09	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $707.95	Facility		$457.09	$457.09	$707.95
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 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48