Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $168.00	Facility		$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $48.57 / $73.16	Professional		$32.04	$48.57	$73.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $81.45 / $126.66	Professional		$81.45	$81.45	$126.66
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 $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $81.45 / $126.66	Professional		$81.45	$81.45	$126.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $37.28 / $49.48	Professional		$28.70	$37.28	$49.48