Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,698.24	Facility		$630.96	$1,148.15	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $602.56	Professional		$478.63	$537.03	$602.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $512.86	Facility		$416.87	$512.86	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $512.86	Facility		$416.87	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Professional		$512.86	$512.86	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,318.26	Facility		$1,047.13	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Professional		$512.86	$512.86	$707.95