Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.28 / $263.26 / $403.84	Facility		$225.28	$263.26	$403.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $328.52 / $373.31	Professional		$134.49	$328.52	$373.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.68 / $489.68 / $489.68	Facility		$489.68	$489.68	$489.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.18 / $433.18 / $433.18	Professional		$433.18	$433.18	$433.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.84 / $489.68 / $489.68	Facility		$194.84	$489.68	$489.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.54 / $433.18 / $433.18	Professional		$235.54	$433.18	$433.18