Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $166.38 / $255.23	Facility		$142.38	$166.38	$255.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $150.81 / $171.38	Professional		$103.25	$150.81	$171.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.81 / $185.61 / $185.61	Facility		$123.81	$185.61	$185.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $483.00 / $483.00	Professional		$483.00	$483.00	$483.00
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 $77.95 / $185.61 / $185.61	Facility		$77.95	$185.61	$185.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.10 / $483.00 / $483.00	Professional		$311.10	$483.00	$483.00