Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.58 / $547.58 / $883.22	Facility		$468.58	$547.58	$883.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $296.14 / $336.54	Professional		$195.00	$296.14	$336.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.48 / $255.48 / $255.48	Facility		$255.48	$255.48	$255.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $616.66 / $616.66	Professional		$616.66	$616.66	$616.66
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 $211.43 / $255.48 / $255.48	Facility		$211.43	$255.48	$255.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.89 / $616.66 / $616.66	Professional		$318.89	$616.66	$616.66