Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.99 / $362.24 / $555.69	Facility		$309.99	$362.24	$555.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $243.55 / $494.93	Professional		$188.96	$243.55	$494.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $439.00 / $439.00	Facility		$439.00	$439.00	$439.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.03 / $648.03 / $648.03	Professional		$648.03	$648.03	$648.03
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 Facility Modifier Low / Median / High Price $60.00 / $439.00 / $439.00	Facility		$60.00	$439.00	$439.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $648.03 / $648.03	Professional		$326.77	$648.03	$648.03