Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $125.31 / $166.55	Facility		$107.23	$125.31	$166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $146.66 / $166.68	Professional		$75.48	$146.66	$166.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.77 / $342.77 / $342.77	Facility		$342.77	$342.77	$342.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.69 / $321.69 / $321.69	Professional		$321.69	$321.69	$321.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $342.77 / $342.77	Facility		$80.00	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $321.69 / $321.69	Professional		$191.55	$321.69	$321.69