Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.83 / $108.89 / $154.56	Facility		$95.83	$108.89	$154.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $43.34 / $88.86	Professional		$36.17	$43.34	$88.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $137.13 / $137.13	Facility		$137.13	$137.13	$137.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $199.62 / $199.62	Professional		$199.62	$199.62	$199.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $66.40 / $77.83	Professional		$66.40	$66.40	$77.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $137.13	Facility		$58.62	$58.62	$137.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $199.62 / $199.62	Professional		$117.24	$199.62	$199.62