Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $114.78 / $176.08	Facility		$98.22	$114.78	$176.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $66.84 / $75.95	Professional		$41.28	$66.84	$75.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $139.32 / $139.32	Professional		$139.32	$139.32	$139.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
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 $139.32 / $139.32 / $139.32	Professional		$139.32	$139.32	$139.32