Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,513.56	Facility		$812.83	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,122.02	Professional		$512.86	$630.96	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,698.24	Facility		$467.74	$724.44	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,698.24	Facility		$467.74	$724.44	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $5,495.41 / $5,495.41	Professional		$741.31	$5,495.41	$5,495.41
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 $933.25 / $1,445.44 / $1,445.44	Facility		$933.25	$1,445.44	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $5,495.41	Professional		$1,122.02	$5,495.41	$5,495.41