Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $436.52	Facility		$234.42	$275.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $208.93	Professional		$134.90	$165.96	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $316.23	Facility		$107.15	$177.83	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $354.81	Facility		$107.15	$218.78	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
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 $239.88 / $1,023.29 / $1,023.29	Facility		$239.88	$1,023.29	$1,023.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,148.15 / $1,148.15	Professional		$489.78	$1,148.15	$1,148.15