Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $129.63 / $147.31	Professional		$129.63	$129.63	$147.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.25 / $210.25 / $210.25	Facility		$210.25	$210.25	$210.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.11 / $467.11 / $467.11	Professional		$467.11	$467.11	$467.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.96 / $210.25 / $210.25	Facility		$134.96	$210.25	$210.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.10 / $467.11 / $467.11	Professional		$244.10	$467.11	$467.11