Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $22.91	Facility		$13.80	$13.80	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $151.36	Facility		$81.28	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $93.33	Professional		$34.67	$44.67	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $194.98 / $194.98	Facility		$70.79	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.98 / $23.99	Facility		$10.47	$16.98	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99