Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $284.32 / $323.08	Facility		$243.30	$284.32	$323.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $252.67 / $287.13	Professional		$103.95	$252.67	$287.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.84 / $197.84 / $198.19	Facility		$197.84	$197.84	$198.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.32 / $406.32 / $406.32	Professional		$406.32	$406.32	$406.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.84 / $197.84 / $198.19	Facility		$197.84	$197.84	$198.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $244.89 / $406.32	Professional		$164.39	$244.89	$406.32