Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $148.47 / $239.49	Facility		$127.06	$148.47	$239.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $67.15 / $88.66	Professional		$54.46	$67.15	$88.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $231.53 / $231.53	Professional		$231.53	$231.53	$231.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $116.67 / $116.67	Facility		$116.67	$116.67	$116.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $135.61 / $231.53	Professional		$135.61	$135.61	$231.53