Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $363.08	Facility		$194.98	$223.87	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $138.04	Professional		$63.10	$79.43	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $89.13	Facility		$33.11	$53.70	$89.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $151.36	Professional		$47.86	$85.11	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $89.13	Facility		$32.36	$53.70	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $489.78	Professional		$70.79	$144.54	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $72.44	Professional		$32.36	$60.26	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $275.42	Facility		$104.71	$104.71	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $489.78	Professional		$316.23	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $85.11 / $194.98	Professional		$36.31	$85.11	$194.98