Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $88.45 / $135.69	Facility		$75.69	$88.45	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $43.34 / $49.25	Professional		$31.50	$43.34	$49.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $90.00	Facility		$85.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $105.35 / $105.35	Professional		$105.35	$105.35	$105.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $85.00 / $90.00	Facility		$36.40	$85.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $55.25 / $105.35	Professional		$45.83	$55.25	$105.35