Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.02 / $298.01 / $457.15	Facility		$255.02	$298.01	$457.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $200.36 / $461.55	Professional		$155.44	$200.36	$461.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,181.37 / $3,181.37 / $3,181.37	Facility		$3,181.37	$3,181.37	$3,181.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,793.57 / $1,793.57 / $1,793.57	Professional		$1,793.57	$1,793.57	$1,793.57
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 Facility Modifier Low / Median / High Price $60.00 / $3,181.37 / $3,181.37	Facility		$60.00	$3,181.37	$3,181.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $1,793.57 / $1,793.57	Professional		$329.69	$1,793.57	$1,793.57