Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.59 / $462.28 / $614.41	Facility		$395.59	$462.28	$614.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.21 / $3,520.63 / $4,000.71	Professional		$189.21	$3,520.63	$4,000.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.41 / $2,922.50 / $2,922.50	Facility		$537.41	$2,922.50	$2,922.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $2,380.44 / $2,380.44	Professional		$771.09	$2,380.44	$2,380.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.86 / $771.09 / $2,922.50	Facility		$138.86	$771.09	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $981.46 / $2,380.44	Professional		$138.86	$981.46	$2,380.44