Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $28.18	Professional		$19.05	$23.99	$28.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $15.14	Facility		$8.32	$8.32	$15.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $89.13	Facility		$8.32	$8.32	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $64.57	Professional		$23.44	$42.66	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $89.13	Facility		$60.26	$89.13	$89.13