Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $131.83	Facility		$67.61	$89.13	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $338.84	Professional		$42.66	$66.07	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $245.47	Professional		$128.82	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $87.10	Professional		$50.12	$58.88	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $173.78	Facility		$64.57	$64.57	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $245.47	Professional		$151.36	$245.47	$245.47