Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $82.57	Facility		$62.18	$72.66	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $62.87 / $71.44	Professional		$26.57	$62.87	$71.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $133.07 / $133.07	Professional		$133.07	$133.07	$133.07
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 $48.72 / $85.00 / $100.00	Facility		$48.72	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $74.95 / $133.07	Professional		$40.40	$74.95	$133.07