Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Facility		$398.11	$398.11	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,737.80 / $1,949.84	Professional		$524.81	$1,737.80	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,187.76 / $2,951.21	Facility		$407.38	$2,187.76	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $891.25	Professional		$758.58	$794.33	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $2,089.30	Facility		$323.59	$512.86	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $2,344.23	Professional		$416.87	$776.25	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,344.23	Facility		$1,202.26	$1,202.26	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,344.23	Professional		$1,737.80	$2,344.23	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,548.82	Professional		$380.19	$676.08	$1,548.82