Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $794.33	Facility		$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $562.34	Professional		$295.12	$331.13	$562.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $537.03	Facility		$190.55	$245.47	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $575.44	Facility		$208.93	$251.19	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
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 $741.31 / $812.83 / $812.83	Professional		$741.31	$812.83	$812.83