Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $131.83	Facility		$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $36.31	Professional		$15.49	$29.51	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $316.23 / $316.23	Facility		$288.40	$316.23	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $269.15 / $316.23 / $316.23	Facility		$269.15	$316.23	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $602.56 / $602.56	Professional		$269.15	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $18.62	Professional		$8.13	$8.13	$18.62