Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $239.88 / $354.81	Facility		$131.83	$239.88	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $128.82	Professional		$100.00	$112.20	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $147.91	Facility		$95.50	$95.50	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $147.91	Facility		$95.50	$95.50	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40