Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $1,258.93	Facility		$676.08	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $891.25	Professional		$457.09	$524.81	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $851.14	Facility		$295.12	$380.19	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $870.96	Facility		$302.00	$398.11	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$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 $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 / $2,570.40 / $2,570.40	Professional		$1,096.48	$2,570.40	$2,570.40