Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $121.10 / $137.61	Facility		$103.63	$121.10	$137.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $102.97 / $117.01	Professional		$44.28	$102.97	$117.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $128.66 / $128.66	Facility		$85.00	$128.66	$128.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $177.19 / $177.19	Professional		$177.19	$177.19	$177.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $85.00 / $128.66	Facility		$81.05	$85.00	$128.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $107.23 / $177.19	Professional		$67.23	$107.23	$177.19