Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $179.88 / $204.41	Professional		$46.50	$179.88	$204.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.08 / $329.72 / $329.72	Facility		$185.08	$329.72	$329.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.73 / $352.73 / $352.73	Professional		$352.73	$352.73	$352.73
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 $121.96 / $185.08 / $329.72	Facility		$121.96	$185.08	$329.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $185.08 / $352.73	Professional		$153.52	$185.08	$352.73