Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.44 / $34.67	Facility		$12.88	$23.44	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $17.38	Professional		$9.77	$12.88	$17.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.33 / $9.77	Facility		$8.32	$9.33	$9.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $14.45	Professional		$2.95	$2.95	$14.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.33 / $9.77	Facility		$8.32	$9.33	$9.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Professional		$10.96	$10.96	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Facility		$85.11	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $15.14	Professional		$10.96	$10.96	$15.14