Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $426.58	Facility		$229.09	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $204.17	Professional		$131.83	$162.18	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $194.98	Facility		$83.18	$104.71	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $251.19	Facility		$85.11	$120.23	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
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 $199.53 / $302.00 / $302.00	Facility		$199.53	$302.00	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $398.11	Professional		$223.87	$398.11	$398.11