Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $107.77	Facility		$69.39	$81.08	$107.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $30.61 / $36.09	Professional		$26.63	$30.61	$36.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $112.44	Professional		$86.64	$86.64	$112.44
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 $55.00 / $60.00 / $90.00	Facility		$55.00	$60.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $112.44	Professional		$86.64	$86.64	$112.44