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 $102.33 / $190.55 / $380.19	Facility		$102.33	$190.55	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $426.58	Facility		$107.15	$208.93	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
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 / $977.24 / $977.24	Facility		$239.88	$977.24	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,380.38 / $1,380.38	Professional		$588.84	$1,380.38	$1,380.38