Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $309.03 / $501.19	Facility		$269.15	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $416.87	Professional		$154.88	$363.08	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
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 $223.87 / $616.60 / $616.60	Facility		$223.87	$616.60	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $870.96	Professional		$549.54	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $208.93	Professional		$100.00	$107.15	$208.93