Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $454.91 / $604.61	Facility		$389.28	$454.91	$604.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.05 / $507.57 / $576.79	Professional		$274.05	$507.57	$576.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.50 / $593.50 / $593.50	Facility		$593.50	$593.50	$593.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $665.33 / $665.33 / $665.33	Professional		$665.33	$665.33	$665.33
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 $402.32 / $593.50 / $593.50	Facility		$402.32	$593.50	$593.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.61 / $665.33 / $665.33	Professional		$342.61	$665.33	$665.33