Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $125.89	Facility		$67.61	$79.43	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $60.26	Professional		$38.90	$47.86	$60.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $63.10	Facility		$26.92	$45.71	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $50.12 / $223.87	Facility		$30.20	$50.12	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
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 $75.86 / $245.47 / $245.47	Facility		$75.86	$245.47	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $186.21	Professional		$81.28	$186.21	$186.21