Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $141.25 / $223.87	Facility		$120.23	$141.25	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $83.18	Professional		$54.95	$69.18	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $43.65	Facility		$30.90	$30.90	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $43.65	Facility		$30.90	$30.90	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $165.96	Facility		$77.62	$77.62	$165.96