Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $69.70 / $79.20	Professional		$37.11	$69.70	$79.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
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 $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $72.31 / $140.99	Professional		$39.78	$72.31	$140.99