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 $39.81 / $77.62 / $97.72	Facility		$39.81	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $79.43 / $234.42	Facility		$44.67	$79.43	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $123.03 / $269.15 / $269.15	Facility		$123.03	$269.15	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $263.03	Professional		$123.03	$263.03	$263.03