Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $137.94 / $211.61	Facility		$118.05	$137.94	$211.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $49.13 / $61.41	Professional		$32.63	$49.13	$61.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $197.75	Professional		$65.33	$65.33	$197.75
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 $60.00 / $60.00 / $90.00	Facility		$60.00	$60.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $197.75	Professional		$65.33	$65.33	$197.75