Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $758.58	Facility		$407.38	$467.74	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $537.03	Professional		$275.42	$316.23	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $954.99	Facility		$181.97	$229.09	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $1,047.13	Facility		$208.93	$251.19	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
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 $5,128.61 / $7,762.47 / $7,762.47	Facility		$5,128.61	$7,762.47	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $1,862.09	Professional		$1,096.48	$1,862.09	$1,862.09