Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $180.92	Facility		$100.93	$117.94	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $63.70 / $72.39	Professional		$42.00	$63.70	$72.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $160.91	Facility		$106.63	$106.63	$160.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.87 / $467.87 / $467.87	Professional		$467.87	$467.87	$467.87
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 $106.63 / $106.63 / $160.91	Facility		$106.63	$106.63	$160.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $193.35 / $467.87	Professional		$126.63	$193.35	$467.87