Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $588.84	Professional		$223.87	$512.86	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
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 $398.11 / $588.84 / $588.84	Facility		$398.11	$588.84	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $707.95 / $707.95	Professional		$338.84	$707.95	$707.95