Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $234.42	Facility		$125.89	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $91.20	Professional		$52.48	$79.43	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $234.42	Professional		$134.90	$234.42	$234.42