Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $87.10	Facility		$46.77	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $47.86	Professional		$32.36	$36.31	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $128.82	Facility		$20.42	$33.11	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $128.82	Facility		$20.42	$33.11	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 $60.26 / $323.59 / $323.59	Facility		$60.26	$323.59	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $323.59 / $323.59	Professional		$54.95	$323.59	$323.59