Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $18.62	Professional		$12.30	$15.49	$18.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $9.77	Facility		$4.47	$4.47	$9.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $89.13	Facility		$4.47	$4.47	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $64.57	Professional		$15.49	$28.18	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $89.13	Facility		$60.26	$89.13	$89.13