Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $389.05	Facility		$208.93	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $186.21	Professional		$117.49	$147.91	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $177.83	Facility		$75.86	$100.00	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $295.12	Facility		$77.62	$112.20	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
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 $181.97 / $295.12 / $295.12	Facility		$181.97	$295.12	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $363.08	Professional		$208.93	$363.08	$363.08