Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $331.13	Facility		$177.83	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $158.49	Professional		$102.33	$125.89	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $165.96	Facility		$60.26	$104.71	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $117.49 / $478.63	Facility		$64.57	$117.49	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
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 $181.97 / $1,778.28 / $1,778.28	Facility		$181.97	$1,778.28	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $389.05 / $389.05	Professional		$165.96	$389.05	$389.05