Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $549.54	Professional		$371.54	$426.58	$549.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $302.00 / $446.68	Facility		$275.42	$302.00	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $302.00 / $446.68	Facility		$275.42	$302.00	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,479.11 / $1,479.11	Professional		$331.13	$1,479.11	$1,479.11
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 $4,466.84 / $6,606.93 / $6,606.93	Facility		$4,466.84	$6,606.93	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $1,479.11	Professional		$676.08	$1,479.11	$1,479.11