Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $676.08	Facility		$363.08	$426.58	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $323.59	Professional		$213.80	$257.04	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $346.74	Facility		$165.96	$165.96	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $346.74	Facility		$165.96	$165.96	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
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 $323.59 / $501.19 / $501.19	Facility		$323.59	$501.19	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $776.25	Professional		$346.74	$776.25	$776.25