Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $15.39	Professional		$13.54	$13.54	$15.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Facility		$133.47	$133.47	$133.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $202.51 / $202.51	Professional		$202.51	$202.51	$202.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $70.00 / $70.00	Professional		$65.00	$70.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $133.47 / $133.47	Facility		$70.00	$133.47	$133.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $202.51 / $202.51	Professional		$25.00	$202.51	$202.51