Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.77 / $107.77 / $130.78	Facility		$107.77	$107.77	$130.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $38.17 / $61.03	Professional		$17.96	$38.17	$61.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $268.88 / $268.88	Professional		$212.00	$268.88	$268.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $77.80 / $268.88	Professional		$46.46	$77.80	$268.88