Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,071.52	Facility		$562.34	$660.69	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $630.96	Professional		$154.88	$354.81	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $177.83 / $398.11	Facility		$87.10	$177.83	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $416.87	Facility		$87.10	$239.88	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,570.40 / $2,570.40	Professional		$891.25	$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 $1,258.93 / $1,995.26 / $1,995.26	Facility		$1,258.93	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,570.40 / $2,570.40	Professional		$645.65	$2,570.40	$2,570.40