Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $125.89	Facility		$67.61	$79.43	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $46.77	Professional		$30.90	$38.90	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $24.55	Facility		$17.38	$17.38	$24.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $100.00	Facility		$17.38	$17.38	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $69.18	Professional		$38.90	$54.95	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $100.00	Facility		$60.26	$100.00	$100.00