Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $194.98	Facility		$104.71	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $93.33	Professional		$61.66	$74.13	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $72.44 / $97.72	Facility		$38.90	$72.44	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $218.78	Facility		$42.66	$75.86	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
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 $120.23 / $269.15 / $269.15	Facility		$120.23	$269.15	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $239.88	Professional		$117.49	$239.88	$239.88