Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $38.43 / $38.43	Professional		$38.43	$38.43	$38.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.90 / $197.90 / $197.90	Facility		$197.90	$197.90	$197.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $56.51 / $56.51	Professional		$56.51	$56.51	$56.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.90 / $197.90 / $197.90	Facility		$197.90	$197.90	$197.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $56.51 / $56.51	Professional		$56.51	$56.51	$56.51