Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $186.21	Facility		$100.00	$114.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $89.13	Professional		$57.54	$69.18	$89.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $93.33	Facility		$31.62	$57.54	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $75.86 / $239.88	Facility		$33.88	$75.86	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
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 / $245.47 / $245.47	Facility		$123.03	$245.47	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $199.53	Professional		$87.10	$199.53	$199.53