Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $81.28	Facility		$43.65	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $61.66	Professional		$28.84	$43.65	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $173.78	Professional		$19.50	$32.36	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $302.00 / $302.00	Facility		$70.79	$302.00	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $173.78	Professional		$87.10	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $57.54	Professional		$17.78	$28.84	$57.54