Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $162.16 / $215.53	Facility		$138.77	$162.16	$215.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $57.75 / $72.19	Professional		$16.50	$57.75	$72.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $148.02 / $148.02	Facility		$90.00	$148.02	$148.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $157.35 / $157.35	Professional		$48.88	$157.35	$157.35
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 / $90.00 / $148.02	Facility		$60.00	$90.00	$148.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $157.35 / $157.35	Professional		$48.88	$157.35	$157.35