Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.02 / $298.01 / $457.15	Facility		$255.02	$298.01	$457.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $260.83 / $296.39	Professional		$106.13	$260.83	$296.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $420.38 / $420.38	Facility		$298.45	$420.38	$420.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.55 / $583.55 / $583.55	Professional		$583.55	$583.55	$583.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.22 / $298.45 / $420.38	Facility		$190.22	$298.45	$420.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.44 / $288.64 / $583.55	Professional		$239.44	$288.64	$583.55