Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $747.65 / $1,205.94	Facility		$639.79	$747.65	$1,205.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $638.47 / $725.54	Professional		$302.02	$638.47	$725.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.34 / $359.34 / $359.34	Facility		$359.34	$359.34	$359.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.37 / $867.37 / $867.37	Professional		$867.37	$867.37	$867.37
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 Professional Modifier Low / Median / High Price $486.00 / $486.00 / $534.60	Professional		$486.00	$486.00	$534.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.38 / $359.34 / $359.34	Facility		$297.38	$359.34	$359.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $448.55 / $867.37 / $867.37	Professional		$448.55	$867.37	$867.37