Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $113.73 / $174.46	Facility		$97.32	$113.73	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $104.90 / $123.51	Professional		$68.70	$104.90	$123.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $183.93 / $183.93	Professional		$183.93	$183.93	$183.93
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 $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $183.93 / $183.93	Professional		$66.61	$183.93	$183.93