Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $691.83	Facility		$354.81	$467.74	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $190.55	Professional		$93.33	$117.49	$190.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $323.59	Professional		$162.18	$251.19	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $602.56	Professional		$181.97	$181.97	$602.56
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 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56