Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $288.40	Facility		$107.15	$199.53	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $104.71	Professional		$81.28	$91.20	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $97.72	Facility		$79.43	$81.28	$97.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $97.72	Facility		$79.43	$81.28	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $117.49	Professional		$97.72	$104.71	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Professional		$54.95	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $112.20	Professional		$97.72	$104.71	$112.20