Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $91.32 / $103.78	Professional		$91.32	$91.32	$103.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.18 / $189.18 / $198.51	Facility		$189.18	$189.18	$198.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $388.15 / $388.15	Professional		$388.15	$388.15	$388.15
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 $126.14 / $189.18 / $198.51	Facility		$126.14	$189.18	$198.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $191.42 / $388.15	Professional		$158.78	$191.42	$388.15