Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $501.19	Facility		$263.03	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $316.23	Professional		$102.33	$125.89	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $467.74 / $467.74	Professional		$120.23	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,445.44 / $1,445.44	Facility		$562.34	$1,445.44	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $489.78	Professional		$323.59	$489.78	$489.78