Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $83.18 / $131.83	Facility		$70.79	$83.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $123.03 / $138.04	Professional		$41.69	$123.03	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $64.57	Facility		$30.90	$48.98	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $257.04	Facility		$32.36	$51.29	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $66.07 / $1,995.26 / $1,995.26	Facility		$66.07	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $575.44 / $575.44	Professional		$93.33	$575.44	$575.44