Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $812.83	Facility		$436.52	$501.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $371.54	Professional		$245.47	$275.42	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $1,071.52	Facility		$194.98	$323.59	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $1,071.52	Facility		$194.98	$323.59	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $5,754.40 / $5,754.40	Professional		$1,000.00	$5,754.40	$5,754.40
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 $870.96 / $1,905.46 / $1,905.46	Facility		$870.96	$1,905.46	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,754.40 / $5,754.40	Professional		$1,819.70	$5,754.40	$5,754.40