Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $501.19	Facility		$263.03	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $295.12	Professional		$87.10	$165.96	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $102.33 / $208.93	Facility		$46.77	$102.33	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $112.20 / $218.78	Facility		$46.77	$112.20	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $1,412.54	Professional		$812.83	$1,412.54	$1,412.54
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 $181.97 / $2,951.21 / $2,951.21	Facility		$181.97	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,412.54 / $1,412.54	Professional		$331.13	$1,412.54	$1,412.54