Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.45 / $517.04 / $793.15	Facility		$442.45	$517.04	$793.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $180.05 / $536.89	Professional		$158.44	$180.05	$536.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $200.00 / $200.00	Facility		$116.67	$200.00	$200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $228.13 / $228.13	Professional		$228.13	$228.13	$228.13
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 $72.14 / $116.67 / $200.00	Facility		$72.14	$116.67	$200.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $109.48 / $228.13	Professional		$90.81	$109.48	$228.13