Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.00 / $14.45	Facility		$5.37	$10.00	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.68 / $5.25	Professional		$4.17	$4.68	$5.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.89	Professional		$3.80	$3.80	$5.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $3,801.89	Facility		$70.79	$70.79	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78