Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $98.97 / $98.97	Facility		$98.97	$98.97	$98.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Professional		$64.31	$64.31	$64.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.62 / $136.62 / $136.62	Facility		$136.62	$136.62	$136.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $50.14 / $534.00	Professional		$3.00	$50.14	$534.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $534.00 / $534.00	Professional		$534.00	$534.00	$534.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $50.14	Professional		$3.00	$3.00	$50.14