Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $123.03	Facility		$66.07	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $66.07	Professional		$45.71	$51.29	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $218.78	Facility		$31.62	$51.29	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $218.78	Facility		$31.62	$51.29	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
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 $93.33 / $346.74 / $346.74	Facility		$93.33	$346.74	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $257.04	Professional		$154.88	$257.04	$257.04