Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $109.65 / $177.83	Facility		$95.50	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $134.90 / $154.88	Professional		$54.95	$134.90	$154.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $87.10	Facility		$34.67	$60.26	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $275.42	Facility		$36.31	$61.66	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
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 / $1,995.26 / $1,995.26	Facility		$107.15	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $194.98	Professional		$102.33	$194.98	$194.98