Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $131.83	Facility		$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $63.10	Professional		$40.74	$48.98	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $54.95	Facility		$26.30	$45.71	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $64.57	Facility		$29.51	$51.29	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $64.57 / $102.33 / $102.33	Facility		$64.57	$102.33	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $162.18	Professional		$81.28	$162.18	$162.18