Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $660.69	Facility		$354.81	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $309.03	Professional		$199.53	$223.87	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $1,174.90	Facility		$162.18	$338.84	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $1,174.90	Facility		$162.18	$338.84	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $6,309.57 / $6,309.57	Professional		$933.25	$6,309.57	$6,309.57
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 $309.03 / $2,089.30 / $2,089.30	Facility		$309.03	$2,089.30	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $6,309.57	Professional		$1,698.24	$6,309.57	$6,309.57