Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $44.45 / $50.51	Professional		$44.45	$44.45	$50.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $183.66 / $183.66	Facility		$183.66	$183.66	$183.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.70 / $373.70 / $373.70	Professional		$373.70	$373.70	$373.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $183.66 / $183.66	Facility		$107.98	$183.66	$183.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $373.70 / $373.70	Professional		$195.29	$373.70	$373.70