Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $144.54	Facility		$77.62	$91.20	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $41.69	Professional		$29.51	$36.31	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
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 $60.26 / $60.26 / $89.13	Facility		$60.26	$60.26	$89.13