Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.85 / $446.12 / $816.13	Facility		$307.85	$446.12	$816.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.88 / $453.92 / $515.80	Professional		$298.88	$453.92	$515.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.84 / $567.84 / $567.84	Facility		$567.84	$567.84	$567.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $797.28 / $797.28 / $797.28	Professional		$797.28	$797.28	$797.28
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 $567.84 / $567.84 / $567.84	Facility		$567.84	$567.84	$567.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $797.28 / $797.28 / $797.28	Professional		$797.28	$797.28	$797.28