Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $575.44	Professional		$371.54	$457.09	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $457.09	Facility		$117.49	$120.23	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $457.09	Facility		$117.49	$120.23	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
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 $562.34 / $741.31 / $741.31	Facility		$562.34	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $954.99	Professional		$562.34	$954.99	$954.99