Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $338.84	Professional		$295.12	$295.12	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $812.83 / $1,122.02	Facility		$181.97	$812.83	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $676.08	Facility		$120.23	$194.98	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $1,174.90	Professional		$194.98	$380.19	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,174.90	Facility		$537.03	$537.03	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,174.90	Professional		$831.76	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $707.95	Professional		$194.98	$323.59	$707.95