Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $758.58	Professional		$380.19	$436.52	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $724.44	Facility		$257.04	$363.08	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $724.44	Facility		$257.04	$363.08	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
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 $707.95 / $6,309.57 / $6,309.57	Facility		$707.95	$6,309.57	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $3,090.30 / $3,090.30	Professional		$645.65	$3,090.30	$3,090.30