Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $630.96	Facility		$338.84	$398.11	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $302.00	Professional		$194.98	$239.88	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $288.40 / $524.81	Facility		$158.49	$288.40	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $288.40 / $524.81	Facility		$158.49	$288.40	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
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 $302.00 / $776.25 / $776.25	Facility		$302.00	$776.25	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,023.29	Professional		$457.09	$1,023.29	$1,023.29