Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $121.15	Facility		$67.58	$78.98	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $46.48 / $52.81	Professional		$28.13	$46.48	$52.81
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 $129.85 / $129.85 / $129.85	Professional		$129.85	$129.85	$129.85
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 $37.45 / $85.00 / $90.00	Facility		$37.45	$85.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $56.83 / $129.85	Professional		$47.14	$56.83	$129.85