Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $223.24 / $342.46	Facility		$191.04	$223.24	$342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $150.10 / $345.76	Professional		$116.45	$150.10	$345.76
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 $244.21 / $1,793.57 / $1,793.57	Professional		$244.21	$1,793.57	$1,793.57