Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,348.96	Facility		$724.44	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $794.33	Professional		$302.00	$457.09	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $457.09	Facility		$229.09	$338.84	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $537.03	Facility		$229.09	$338.84	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
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 $489.78 / $1,288.25 / $1,288.25	Facility		$489.78	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $1,621.81	Professional		$794.33	$1,621.81	$1,621.81