Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.19 / $551.79 / $733.37	Facility		$472.19	$551.79	$733.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.41 / $616.96 / $701.09	Professional		$332.41	$616.96	$701.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $678.35 / $678.35 / $678.35	Facility		$678.35	$678.35	$678.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $825.93 / $825.93 / $825.93	Professional		$825.93	$825.93	$825.93
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 $459.80 / $678.35 / $678.35	Facility		$459.80	$678.35	$678.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $825.93 / $825.93	Professional		$438.87	$825.93	$825.93