Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.39 / $33.11	Facility		$12.30	$22.39	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.47 / $12.02	Professional		$9.33	$10.47	$12.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.47 / $10.47	Facility		$8.71	$10.47	$10.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.47 / $10.47	Facility		$8.71	$10.47	$10.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.49	Professional		$10.47	$10.47	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $138.04	Facility		$85.11	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $14.13	Professional		$10.47	$10.47	$14.13