Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $575.44	Facility		$309.03	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $281.84	Professional		$162.18	$245.47	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $912.01	Facility		$575.44	$691.83	$912.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $954.99	Professional		$851.14	$851.14	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $251.19	Facility		$134.90	$134.90	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$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 $213.80 / $676.08 / $676.08	Facility		$213.80	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Professional		$575.44	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $162.18	Professional		$60.26	$91.20	$162.18