Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $130.78	Facility		$69.39	$81.08	$130.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $36.67 / $47.89	Professional		$29.74	$36.67	$47.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $126.81 / $126.81	Professional		$126.81	$126.81	$126.81
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 $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $74.42 / $126.81	Professional		$74.42	$74.42	$126.81