Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $154.88 / $245.47	Facility		$131.83	$154.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $117.49	Professional		$75.86	$93.33	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $208.93	Facility		$48.98	$87.10	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $338.84	Facility		$50.12	$93.33	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
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 $131.83 / $338.84 / $338.84	Facility		$131.83	$338.84	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $309.03	Professional		$134.90	$309.03	$309.03