Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $870.96 / $1,412.54	Facility		$758.58	$870.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,023.29	Professional		$467.74	$588.84	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $457.09 / $891.25	Facility		$426.58	$457.09	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $457.09 / $891.25	Facility		$426.58	$457.09	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,570.40 / $2,570.40	Professional		$645.65	$2,570.40	$2,570.40
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 $8,912.51 / $13,182.57 / $13,182.57	Facility		$8,912.51	$13,182.57	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $2,570.40	Professional		$1,148.15	$2,570.40	$2,570.40