Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $1,122.02	Facility		$602.56	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $537.03	Professional		$354.81	$426.58	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $446.68	Facility		$275.42	$275.42	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $446.68	Facility		$275.42	$275.42	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
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 $645.65 / $645.65 / $954.99	Facility		$645.65	$645.65	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,071.52 / $1,071.52	Professional		$524.81	$1,071.52	$1,071.52