Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $24.55 / $38.90	Facility		$20.89	$24.55	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $18.62	Professional		$12.02	$14.45	$18.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.13 / $22.39	Facility		$9.55	$14.13	$22.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $16.22 / $58.88	Facility		$9.55	$16.22	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $60.26 / $128.82 / $128.82	Facility		$60.26	$128.82	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $61.66 / $61.66	Professional		$26.30	$61.66	$61.66