Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.60 / $376.98 / $501.04	Facility		$322.60	$376.98	$501.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.11 / $421.53 / $479.01	Professional		$227.11	$421.53	$479.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.10 / $535.10 / $535.10	Facility		$535.10	$535.10	$535.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.27 / $549.27 / $549.27	Professional		$549.27	$549.27	$549.27
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 $362.72 / $535.10 / $535.10	Facility		$362.72	$535.10	$535.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.41 / $549.27 / $549.27	Professional		$293.41	$549.27	$549.27