Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $720.27 / $1,161.77	Facility		$616.37	$720.27	$1,161.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $615.09 / $698.96	Professional		$290.97	$615.09	$698.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.50 / $572.50 / $572.50	Facility		$572.50	$572.50	$572.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $864.22 / $864.22 / $864.22	Professional		$864.22	$864.22	$864.22
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 $469.57 / $469.57 / $516.53	Professional		$469.57	$469.57	$516.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $572.50 / $572.50	Facility		$296.30	$572.50	$572.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.93 / $864.22 / $864.22	Professional		$446.93	$864.22	$864.22