Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $42.36 / $59.46	Professional		$31.50	$42.36	$59.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $40.15 / $173.28	Professional		$20.47	$40.15	$173.28
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 Professional Modifier Low / Median / High Price $36.96 / $49.39 / $49.39	Professional		$36.96	$49.39	$49.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $302.58 / $302.58	Facility		$302.58	$302.58	$302.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $173.28 / $173.28	Professional		$71.69	$173.28	$173.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $33.84 / $63.79	Professional		$20.35	$33.84	$63.79