Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $323.59	Facility		$173.78	$204.17	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $177.83	Professional		$120.23	$134.90	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $416.87	Facility		$57.54	$125.89	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $416.87	Facility		$57.54	$125.89	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
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 $102.33 / $190.55 / $190.55	Facility		$102.33	$190.55	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $416.87	Professional		$208.93	$416.87	$416.87