Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $296.95 / $455.54	Facility		$254.12	$296.95	$455.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $112.10 / $132.19	Professional		$105.75	$112.10	$132.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.56 / $137.56 / $137.56	Facility		$137.56	$137.56	$137.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $283.70 / $283.70	Professional		$283.70	$283.70	$283.70
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 $65.00 / $137.56 / $137.56	Facility		$65.00	$137.56	$137.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $283.70 / $283.70	Professional		$118.32	$283.70	$283.70