Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.73 / $129.24 / $183.44	Facility		$113.73	$129.24	$183.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $59.77 / $115.24	Professional		$49.89	$59.77	$115.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.16 / $236.16 / $236.16	Professional		$236.16	$236.16	$236.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $48.94 / $121.87	Professional		$44.49	$48.94	$121.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $69.26 / $151.16	Facility		$69.26	$69.26	$151.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $179.95 / $236.16	Professional		$138.52	$179.95	$236.16