Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.25 / $363.72 / $586.66	Facility		$311.25	$363.72	$586.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $243.24 / $276.41	Professional		$168.79	$243.24	$276.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $256.50 / $642.84	Facility		$143.91	$256.50	$642.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $269.18 / $710.30	Professional		$82.75	$269.18	$710.30
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 $285.26 / $677.49 / $677.49	Facility		$285.26	$677.49	$677.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.52 / $710.30 / $710.30	Professional		$570.52	$710.30	$710.30