Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $9.83 / $14.05	Facility		$5.42	$9.83	$14.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.37 / $5.24	Professional		$4.13	$4.37	$5.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,763.43 / $3,763.43 / $3,763.43	Facility		$3,763.43	$3,763.43	$3,763.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.22 / $491.22 / $491.22	Professional		$491.22	$491.22	$491.22
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 Professional Modifier Low / Median / High Price $3.82 / $3.82 / $5.94	Professional		$3.82	$3.82	$5.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,763.43 / $3,763.43 / $3,763.43	Facility		$3,763.43	$3,763.43	$3,763.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.22 / $491.22 / $491.22	Professional		$491.22	$491.22	$491.22