Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $129.52 / $198.69	Facility		$110.84	$129.52	$198.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $87.08 / $176.96	Professional		$67.56	$87.08	$176.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.56 / $142.56 / $142.56	Facility		$142.56	$142.56	$142.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,070.79 / $1,070.79 / $1,070.79	Professional		$1,070.79	$1,070.79	$1,070.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $142.56 / $142.56	Facility		$60.00	$142.56	$142.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $1,070.79 / $1,070.79	Professional		$76.75	$1,070.79	$1,070.79