Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $151.36	Facility		$81.28	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $169.82	Professional		$50.12	$72.44	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $229.09 / $229.09	Professional		$57.54	$229.09	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $95.50	Professional		$50.12	$54.95	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $1,659.59 / $1,659.59	Facility		$67.61	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $229.09	Professional		$104.71	$229.09	$229.09