Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Facility		$72.44	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $51.29	Professional		$30.20	$38.02	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $89.13	Facility		$61.66	$89.13	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $89.13	Facility		$70.79	$89.13	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $125.89	Professional		$57.54	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $53.70	Professional		$23.44	$23.44	$53.70