Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $831.76	Professional		$446.68	$575.44	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $575.44	Facility		$83.18	$204.17	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $575.44	Facility		$83.18	$204.17	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $2,344.23	Professional		$1,230.27	$2,344.23	$2,344.23
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 $776.25 / $3,890.45 / $3,890.45	Facility		$776.25	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $2,344.23	Professional		$1,258.93	$2,344.23	$2,344.23