Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Facility		$112.20	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $208.93	Professional		$46.77	$58.88	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $331.13	Facility		$186.21	$331.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $331.13	Facility		$186.21	$331.13	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $407.38	Professional		$186.21	$407.38	$407.38