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 $169.10 / $169.10 / $184.41	Facility		$169.10	$169.10	$184.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.57 / $360.57 / $360.57	Professional		$360.57	$360.57	$360.57
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 $117.16 / $169.10 / $184.41	Facility		$117.16	$169.10	$184.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $177.79 / $360.57	Professional		$147.47	$177.79	$360.57