Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $740.55	Facility		$392.89	$459.12	$740.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $384.08 / $436.45	Professional		$185.47	$384.08	$436.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $250.33 / $860.64	Facility		$133.72	$250.33	$860.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.84 / $641.84 / $641.84	Professional		$641.84	$641.84	$641.84
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 Professional Modifier Low / Median / High Price $288.17 / $288.17 / $317.56	Professional		$288.17	$288.17	$317.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $285.26 / $570.52 / $570.52	Facility		$285.26	$570.52	$570.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.52 / $641.84 / $641.84	Professional		$570.52	$641.84	$641.84