Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Facility		$467.74	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $346.74	Professional		$194.98	$245.47	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 Facility Modifier Low / Median / High Price $263.03 / $436.52 / $436.52	Facility		$263.03	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $794.33	Professional		$316.23	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $165.96	Professional		$74.13	$104.71	$165.96