Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $288.40	Facility		$177.83	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $218.78	Professional		$77.62	$190.55	$218.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $144.54	Facility		$57.54	$81.28	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $154.88	Professional		$36.31	$37.15	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $151.36	Facility		$64.57	$81.28	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $389.05	Professional		$61.66	$91.20	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $70.79	Professional		$30.20	$33.11	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $446.68	Facility		$165.96	$165.96	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $446.68	Professional		$338.84	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $208.93	Professional		$58.88	$81.28	$208.93