Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $147.91 / $169.82	Professional		$61.66	$147.91	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $363.08 / $363.08	Facility		$89.13	$363.08	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $331.13	Professional		$190.55	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $138.04	Professional		$38.90	$43.65	$138.04