Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $245.31 / $348.19	Facility		$215.87	$245.31	$348.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $111.67 / $241.73	Professional		$90.54	$111.67	$241.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $169.74 / $169.74	Facility		$169.74	$169.74	$169.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.05 / $356.22 / $356.22	Professional		$330.05	$356.22	$356.22
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 $100.79 / $100.79 / $169.74	Facility		$100.79	$100.79	$169.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $330.05 / $356.22	Professional		$120.82	$330.05	$356.22
United Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $45.69 / $80.19	Professional		$40.75	$45.69	$80.19