Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $74.13	Professional		$47.86	$58.88	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $52.48 / $77.62	Facility		$28.18	$52.48	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $54.95 / $223.87	Facility		$30.20	$54.95	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
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 $107.15 / $269.15 / $269.15	Facility		$107.15	$269.15	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $173.78	Professional		$87.10	$173.78	$173.78