Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $190.55	Facility		$114.82	$128.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $117.49	Professional		$48.98	$60.26	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $234.42	Facility		$70.79	$70.79	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $234.42	Professional		$181.97	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $54.95	Professional		$18.20	$28.84	$54.95