Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $676.08	Facility		$363.08	$416.87	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $309.03	Professional		$204.17	$229.09	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $1,023.29	Facility		$162.18	$398.11	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $1,023.29	Facility		$162.18	$398.11	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $5,370.32 / $5,370.32	Professional		$933.25	$5,370.32	$5,370.32
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 $812.83 / $1,949.84 / $1,949.84	Facility		$812.83	$1,949.84	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $5,370.32 / $5,370.32	Professional		$1,698.24	$5,370.32	$5,370.32