Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $512.86	Professional		$331.13	$407.38	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $407.38	Facility		$114.82	$117.49	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $407.38	Facility		$114.82	$117.49	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
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 $489.78 / $676.08 / $676.08	Facility		$489.78	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $851.14	Professional		$489.78	$851.14	$851.14