Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $70.79	Facility		$41.69	$47.86	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $20.89	Professional		$16.98	$18.62	$20.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $25.12 / $141.25	Facility		$8.71	$25.12	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $44.67 / $141.25	Facility		$8.71	$44.67	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $107.15 / $107.15	Professional		$22.91	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $70.79	Professional		$58.88	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $89.13	Facility		$60.26	$60.26	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Professional		$107.15	$107.15	$177.83