Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $262.20 / $402.23	Facility		$224.38	$262.20	$402.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $234.92 / $266.95	Professional		$162.72	$234.92	$266.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $237.78 / $237.78	Facility		$184.25	$237.78	$237.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.32 / $541.32 / $541.32	Professional		$541.32	$541.32	$541.32
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 $121.42 / $237.78 / $237.78	Facility		$121.42	$237.78	$237.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $541.32 / $541.32	Professional		$247.90	$541.32	$541.32