Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $128.82	Facility		$69.18	$81.28	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $47.86	Professional		$31.62	$39.81	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $40.74	Facility		$17.78	$17.78	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $138.04	Facility		$17.78	$17.78	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $70.79	Professional		$38.90	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $138.04	Facility		$60.26	$60.26	$138.04