Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $426.58	Professional		$281.84	$338.84	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $338.84	Facility		$93.33	$97.72	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $338.84	Facility		$93.33	$97.72	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
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 $416.87 / $630.96 / $630.96	Facility		$416.87	$630.96	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $724.44	Professional		$416.87	$724.44	$724.44