Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $123.03	Facility		$66.07	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $58.88	Professional		$38.02	$46.77	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $61.66	Facility		$23.99	$38.02	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $199.53	Facility		$25.70	$43.65	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $70.79 / $1,778.28 / $1,778.28	Facility		$70.79	$1,778.28	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $162.18	Professional		$69.18	$162.18	$162.18