Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $141.25	Facility		$70.79	$120.23	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $42.66	Professional		$33.11	$41.69	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $75.86	Facility		$23.44	$36.31	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $181.97	Facility		$24.55	$48.98	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $181.97 / $181.97	Facility		$89.13	$181.97	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $190.55	Professional		$107.15	$190.55	$190.55