Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $104.25 / $138.56	Facility		$89.21	$104.25	$138.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $62.80 / $106.81	Professional		$50.24	$62.80	$106.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,974.91 / $1,974.91 / $1,974.91	Facility		$1,974.91	$1,974.91	$1,974.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $177.81 / $177.81	Professional		$177.81	$177.81	$177.81
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 Facility Modifier Low / Median / High Price $108.04 / $1,974.91 / $1,974.91	Facility		$108.04	$1,974.91	$1,974.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $177.81 / $177.81	Professional		$91.15	$177.81	$177.81