Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.44 / $91.93	Professional		$18.75	$23.44	$91.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $22.85 / $22.85	Professional		$22.85	$22.85	$22.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $22.85 / $22.85	Professional		$22.85	$22.85	$22.85