Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $371.54 / $426.58	Professional		$93.33	$371.54	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $83.18 / $147.91	Facility		$47.86	$83.18	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $190.55	Facility		$51.29	$87.10	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
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 $186.21 / $446.68 / $446.68	Facility		$186.21	$446.68	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $302.00	Professional		$154.88	$302.00	$302.00