Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $79.43	Facility		$42.66	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $47.86	Professional		$17.38	$22.91	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $89.13	Facility		$70.79	$70.79	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.30 / $12.30	Facility		$7.59	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30