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 $199.53 / $794.33 / $891.25	Professional		$199.53	$794.33	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $199.53 / $354.81	Facility		$158.49	$199.53	$354.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $467.74	Professional		$316.23	$371.54	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Facility		$154.88	$194.98	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $1,148.15	Professional		$181.97	$346.74	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,148.15	Facility		$316.23	$316.23	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,148.15	Professional		$933.25	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $812.83	Professional		$173.78	$295.12	$812.83