Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $29.92 / $73.12	Facility		$13.91	$29.92	$73.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.83 / $147.00	Facility		$82.00	$95.83	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $80.56 / $91.55	Professional		$34.28	$80.56	$91.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.75 / $195.75 / $195.75	Facility		$195.75	$195.75	$195.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $76.30 / $98.61	Professional		$71.53	$76.30	$98.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $195.75	Facility		$59.84	$59.84	$195.75