Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.00 / $11.48	Professional		$4.90	$10.00	$11.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
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 / $70.79 / $100.00	Facility		$70.79	$70.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.82 / $4.27	Facility		$2.57	$2.82	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.09 / $3.31	Professional		$2.82	$3.09	$3.31