Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $295.12	Facility		$107.15	$199.53	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $141.25	Professional		$83.18	$109.65	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $158.49	Facility		$72.44	$81.28	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $158.49	Facility		$72.44	$81.28	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Professional		$91.20	$91.20	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $478.63 / $478.63	Facility		$138.04	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Professional		$91.20	$91.20	$123.03