Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $131.83	Facility		$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $63.10	Professional		$40.74	$48.98	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.88 / $54.95	Facility		$25.70	$33.88	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $61.66	Facility		$25.70	$38.90	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
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 $72.44 / $234.42 / $234.42	Facility		$72.44	$234.42	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $128.82	Professional		$77.62	$128.82	$128.82