Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Facility		$213.80	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $190.55	Professional		$125.89	$151.36	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $407.38	Facility		$100.00	$239.88	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $407.38	Facility		$100.00	$239.88	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
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 $190.55 / $436.52 / $436.52	Facility		$190.55	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $912.01 / $912.01	Professional		$363.08	$912.01	$912.01