Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $416.87	Facility		$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $194.98	Professional		$125.89	$141.25	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $549.54	Facility		$102.33	$177.83	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $549.54	Facility		$102.33	$177.83	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,951.21 / $2,951.21	Professional		$501.19	$2,951.21	$2,951.21
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 $436.52 / $1,584.89 / $1,584.89	Facility		$436.52	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,951.21 / $2,951.21	Professional		$912.01	$2,951.21	$2,951.21