Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $88.24 / $100.28	Professional		$88.24	$88.24	$100.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $140.66	Facility		$90.00	$90.00	$140.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.95 / $389.95 / $389.95	Professional		$389.95	$389.95	$389.95
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 $90.00 / $90.00 / $140.66	Facility		$90.00	$90.00	$140.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $248.70 / $389.95	Professional		$110.70	$248.70	$389.95