Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $75.39 / $107.01	Facility		$66.34	$75.39	$107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $34.32 / $67.48	Professional		$24.95	$34.32	$67.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $710.85 / $710.85	Professional		$116.00	$710.85	$710.85
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 $70.00 / $70.00 / $90.00	Facility		$70.00	$70.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $116.00 / $710.85	Professional		$33.27	$116.00	$710.85