Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Facility		$467.74	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $630.96 / $707.95	Professional		$275.42	$630.96	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $676.08	Facility		$457.09	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $851.14	Professional		$436.52	$851.14	$851.14